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General NPI Number Information
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NPI Number | 1396060596
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Entity Type | Individual
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Provider Name | KRISTIN ANN KOZAKOWSKI M.D.
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Gender | Female
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Dates
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Enumeration Date | 03/30/2010
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Last Update Date | 12/08/2025
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Provider Practice Location Address
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Address Line | 1944 RTE 33 STE 203
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City | NEPTUNE
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State | NJ
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Zip | 07753
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Country | US
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Telephone | 732-613-9144
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Fax |
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Provider Business Mailing Address
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Address Line | 331 NEWMAN SPRINGS RD STE 220
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City | RED BANK
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State | NJ
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Zip | 07701-5792
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Country | US
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Telephone |
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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 | 2088P0231X
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Taxonomy Name | Pediatric Urology Physician
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License Number | 25MA10527700
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License Number State | NJ
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