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General NPI Number Information
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NPI Number | 1437494739
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Entity Type | Organization
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Legal Business Name | LAURA K JOZEWICZ MD PA
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Dates
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Enumeration Date | 11/28/2012
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Last Update Date | 01/09/2013
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Provider Practice Location Address
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Address Line | 701 EXPOSITION PL SUITE 106
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City | RALEIGH
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State | NC
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Zip | 27615-3300
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Country | US
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Telephone | 919-845-2580
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Fax | 919-845-2581
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Provider Business Mailing Address
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Address Line | 701 EXPOSITION PL SUITE 106
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City | RALEIGH
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State | NC
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Zip | 27615-3300
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Country | US
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Telephone | 919-845-2580
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Fax | 919-845-2581
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Authorized Official
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Title or Position | OWNER/PHYSICIAN
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Name | LAURA KOLARZ-JOZEWICZ
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Credential | M.D.
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Telephone | 919-845-2580
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 2084N0600X
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Taxonomy Name | Clinical Neurophysiology Physician
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License Number | 34797
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License Number State | NC
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