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General NPI Number Information
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NPI Number | 1568563062
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Entity Type | Individual
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Provider Name | CHRISTINA KOZLOWSKI APRN
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Gender | Female
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Dates
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Enumeration Date | 09/26/2006
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Last Update Date | 02/03/2021
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Provider Practice Location Address
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Address Line | 9900 BREN RD E # N008W235
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City | MINNETONKA
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State | MN
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Zip | 55343-9664
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Country | US
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Telephone | 952-205-2487
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Fax |
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Provider Business Mailing Address
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Address Line | 130 PINE ORCHARD RD
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City | BRANFORD
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State | CT
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Zip | 06405-3942
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Country | US
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Telephone | 203-927-3123
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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 | 2621
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License Number State | CT
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