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General NPI Number Information
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NPI Number | 1417995887
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Entity Type | Individual
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Provider Name | KURT KUROWSKI M.D.
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Gender | Male
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Dates
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Enumeration Date | 06/04/2006
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Last Update Date | 03/07/2023
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Provider Practice Location Address
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Address Line | 440 W FOOTHILL BLVD
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City | GLENDORA
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State | CA
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Zip | 91741-3361
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Country | US
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Telephone | 626-963-9402
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Fax |
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Provider Business Mailing Address
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Address Line | 140 B SCHOOL CREEK TRAIL
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City | LUXEMBURG
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State | WI
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Zip | 54217-1095
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Country | US
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Telephone | 920-845-1370
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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 | 207Q00000X
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Taxonomy Name | Family Medicine Physician
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License Number | 036071095
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License Number State | IL
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Taxonomy #2
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Taxonomy Code | 207QA0000X
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Taxonomy Name | Adolescent Medicine (Family Medicine) Physician
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License Number | 036071095
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License Number State | IL
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Taxonomy #3
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Taxonomy Code | 207Q00000X
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Taxonomy Name | Family Medicine Physician
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License Number | 45654
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License Number State | WI
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