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General NPI Number Information
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NPI Number | 1477912863
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Entity Type | Individual
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Provider Name | JESSICA A KOWALEWSKI MSN, RNC-OB, WHNP-BC
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Gender | Female
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Dates
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Enumeration Date | 02/15/2016
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Last Update Date | 07/21/2022
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Provider Practice Location Address
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Address Line | 1060 CLIFTON AVE
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City | CLIFTON
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State | NJ
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Zip | 07013-3638
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Country | US
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Telephone | 973-826-4920
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Fax |
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Provider Business Mailing Address
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Address Line | 799 BLOOMFIELD AVE STE 301
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City | BLOOMFIELD
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State | NJ
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Zip | 07044-1301
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Country | US
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Telephone | 973-500-2399
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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 | 363LW0102X
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Taxonomy Name | Women's Health Nurse Practitioner
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License Number | 26NJ00543100
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License Number State | NJ
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