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General NPI Number Information
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NPI Number | 1255748158
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Entity Type | Individual
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Provider Name | ADAM KOZIKOWSKI NP
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Gender | Male
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Dates
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Enumeration Date | 07/13/2014
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Last Update Date | 09/22/2016
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Provider Practice Location Address
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Address Line | 710 W 168TH ST NEUROLOGICAL INSTITUTE, 12TH FLOOR
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City | NEW YORK
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State | NY
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Zip | 10032-3726
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Country | US
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Telephone | 212-305-9758
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Fax |
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Provider Business Mailing Address
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Address Line | 50 DELANCEY ST APT. 102
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City | NEW YORK
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State | NY
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Zip | 10002-2966
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Country | US
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Telephone | 917-680-1029
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Fax |
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Authorized Official
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Title or Position |
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Name |
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Credential |
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Telephone |
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 363LP0808X
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Taxonomy Name | Psychiatric/Mental Health Nurse Practitioner
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License Number | 401733
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License Number State | NY
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