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General NPI Number Information
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NPI Number | 1609854579
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Entity Type | Individual
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Provider Name | KARA M KOZLOWSKI DPM, FACFAS
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Gender | Female
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Dates
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Enumeration Date | 01/02/2006
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Last Update Date | 01/30/2020
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Provider Practice Location Address
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Address Line | 521 N VIRGINIA AVE
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City | EUREKA
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State | MO
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Zip | 63025-1115
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Country | US
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Telephone | 636-587-3668
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Fax | 636-587-3774
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Provider Business Mailing Address
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Address Line | 3009 N BALLAS RD STE 100B
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City | SAINT LOUIS
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State | MO
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Zip | 63131-2322
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Country | US
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Telephone | 636-587-3668
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Fax | 636-587-3774
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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 | 213ES0103X
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Taxonomy Name | Foot & Ankle Surgery Podiatrist
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License Number | 000651
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License Number State | MO
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