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General NPI Number Information
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NPI Number | 1376646695
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Entity Type | Individual
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Provider Name | ROWENA C PUNZALAN MD
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Gender | Female
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Dates
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Enumeration Date | 09/06/2006
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Last Update Date | 06/09/2025
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Provider Practice Location Address
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Address Line | 638 N 18TH ST
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City | MILWAUKEE
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State | WI
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Zip | 53233-2121
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Country | US
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Telephone | 414-937-6573
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Fax |
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Provider Business Mailing Address
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Address Line | 8085 RIVERS AVE STE 100
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City | NORTH CHARLESTON
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State | SC
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Zip | 29406-9239
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Country | US
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Telephone | 843-569-8495
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Fax | 770-237-4971
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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 | 207ZP0102X
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Taxonomy Name | Anatomic Pathology & Clinical Pathology Physician
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License Number | 36081020
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License Number State | WI
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Taxonomy #2
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Taxonomy Code | 2080P0207X
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Taxonomy Name | Pediatric Hematology & Oncology Physician
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License Number | 36081
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License Number State | WI
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