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General NPI Number Information
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NPI Number | 1467619353
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Entity Type | Individual
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Provider Name | NICOLAS ANTHONY WOZMAK M.D.
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Gender | Male
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Dates
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Enumeration Date | 05/19/2008
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Last Update Date | 03/31/2025
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Provider Practice Location Address
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Address Line | 4 FINANCIAL PLZ
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City | NAPA
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State | CA
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Zip | 94558-3043
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Country | US
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Telephone | 707-266-7051
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Fax |
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Provider Business Mailing Address
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Address Line | 335 W M ST
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City | BENICIA
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State | CA
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Zip | 94510-2707
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Country | US
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Telephone | 858-395-9327
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Fax | 719-283-7966
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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 | 207L00000X
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Taxonomy Name | Anesthesiology Physician
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License Number | A109605
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License Number State | CA
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