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General NPI Number Information
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NPI Number | 1366309379
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Entity Type | Individual
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Provider Name | RICHELLE KAY KOWALKOWSKI RN
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Gender | Female
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Dates
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Enumeration Date | 01/09/2026
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Last Update Date | 01/09/2026
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Provider Practice Location Address
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Address Line | 10 NICHOLLS ST
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City | DAVENPORT
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State | WA
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Zip | 99122-9729
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Country | US
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Telephone | 509-725-7101
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Fax |
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Provider Business Mailing Address
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Address Line | PO BOX 488
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City | DAVENPORT
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State | WA
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Zip | 99122-0488
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Country | US
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Telephone | 509-725-7101
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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 | 163WP0000X
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Taxonomy Name | Pain Management Registered Nurse
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License Number | RN00166366
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License Number State | WA
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Taxonomy #2
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Taxonomy Code | 163WX0800X
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Taxonomy Name | Orthopedic Registered Nurse
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License Number | RN00166366
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License Number State | WA
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Taxonomy #3
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Taxonomy Code | 163W00000X
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Taxonomy Name | Registered Nurse
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License Number | RN00166366
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License Number State | WA
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