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General NPI Number Information
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NPI Number | 1326465519
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Entity Type | Individual
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Provider Name | KRISTIAN V LOZEV M.D.
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Gender | Male
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Dates
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Enumeration Date | 03/25/2014
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Last Update Date | 07/21/2022
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Provider Practice Location Address
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Address Line | 130 2ND ST
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City | NEENAH
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State | WI
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Zip | 54956
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Country | US
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Telephone | 920-729-2738
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Fax | 920-729-3021
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Provider Business Mailing Address
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Address Line | 122 E COLLEGE AVE
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City | APPLETON
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State | WI
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Zip | 54911-5794
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Country | US
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Telephone | 920-996-3264
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Fax | 920-830-5970
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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 | 207R00000X
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Taxonomy Name | Internal Medicine Physician
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License Number | 125065183
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License Number State | IL
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Taxonomy #2
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Taxonomy Code | 207R00000X
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Taxonomy Name | Internal Medicine Physician
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License Number | 67605
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License Number State | WI
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Taxonomy #3
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Taxonomy Code | 208M00000X
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Taxonomy Name | Hospitalist Physician
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License Number | 67605
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License Number State | WI
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