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General NPI Number Information
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NPI Number | 1508850546
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Entity Type | Individual
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Provider Name | SANDRA R KOWALSKI CRNP
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Gender | Female
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Dates
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Enumeration Date | 09/06/2005
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Last Update Date | 04/06/2020
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Provider Practice Location Address
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Address Line | 3080 HAMILTON BLVD STE 350
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City | ALLENTOWN
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State | PA
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Zip | 18103-3694
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Country | US
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Telephone | 484-661-4650
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Fax |
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Provider Business Mailing Address
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Address Line | PO BOX 783311
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City | PHILADELPHIA
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State | PA
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Zip | 19178-3311
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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 | 363LF0000X
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Taxonomy Name | Family Nurse Practitioner
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License Number | UP006605B
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License Number State | PA
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Taxonomy #2
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Taxonomy Code | 363L00000X
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Taxonomy Name | Nurse Practitioner
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License Number | RN239575L
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License Number State | PA
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