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NPI 1386538635

NPI 1386538635 : KARA KOLODZIEJCZAK : MIAMI, FL

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General NPI Number Information
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    NPI Number           |    1386538635
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    Entity Type          |    Individual 
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    Provider Name        |    KARA KOLODZIEJCZAK
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    Gender               |    Female 
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Dates
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    Enumeration Date     |    06/03/2025
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    Last Update Date     |    06/07/2026
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Provider Practice Location Address
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    Address Line         |    2125 BISCAYNE BLVD 
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    City                 |    MIAMI
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    State                |    FL
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    Zip                  |    33137-5031
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    Country              |    US
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    Telephone            |    212-203-1773
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    Fax                  |    
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Provider Business Mailing Address
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    Address Line         |    274 MADISON AVE 
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    City                 |    NEW YORK
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    State                |    NY
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    Zip                  |    10016-0701
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    Country              |    US
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    Telephone            |    212-203-1773
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    Fax                  |    646-665-4427
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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       |    14891
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    License Number State |    CT
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Taxonomy #2
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    Taxonomy Code        |    163WP0808X
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    Taxonomy Name        |    Psychiatric/Mental Health Registered Nurse
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    License Number       |    207697
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    License Number State |    CT
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Taxonomy #3
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    Taxonomy Code        |    363LP0808X
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    Taxonomy Name        |    Psychiatric/Mental Health Nurse Practitioner
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    License Number       |    11040281
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    License Number State |    FL
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Taxonomy #4
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    Taxonomy Code        |    163WP0808X
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    Taxonomy Name        |    Psychiatric/Mental Health Registered Nurse
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    License Number       |    9623359
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    License Number State |    FL
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