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General NPI Number Information
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NPI Number | 1265519482
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Entity Type | Individual
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Provider Name | JOY M KOWALSKI
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Gender | Female
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Dates
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Enumeration Date | 11/01/2006
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Last Update Date | 07/08/2007
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Provider Practice Location Address
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Address Line | 2131 RIDGE DR
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City | LAKE GENEVA
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State | WI
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Zip | 53147-3627
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Country | US
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Telephone | 262-249-0349
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Fax |
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Provider Business Mailing Address
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Address Line | 1333 PLEASANT ST
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City | OSAGE
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State | IA
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Zip | 50461-1840
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Country | US
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Telephone | 641-732-3144
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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 | 163W00000X
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Taxonomy Name | Registered Nurse
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License Number | 066298
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License Number State | IA
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