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General NPI Number Information
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NPI Number | 1619979770
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Entity Type | Individual
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Provider Name | KERI A WOLOSZYNSKI PT
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Gender | Female
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Dates
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Enumeration Date | 08/10/2005
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Last Update Date | 07/08/2007
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Provider Practice Location Address
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Address Line | 7160 N UNIVERSITY DR
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City | TAMARAC
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State | FL
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Zip | 33321-2916
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Country | US
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Telephone | 954-721-3556
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Fax | 954-721-7870
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Provider Business Mailing Address
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Address Line | 7160 N UNIVERSITY DR
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City | TAMARAC
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State | FL
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Zip | 33321-2916
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Country | US
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Telephone | 954-442-0272
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Fax | 954-721-4966
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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 | 225100000X
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Taxonomy Name | Physical Therapist
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License Number | PT00007986
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License Number State | WA
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Taxonomy #2
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Taxonomy Code | 225100000X
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Taxonomy Name | Physical Therapist
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License Number | PT22070
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License Number State | FL
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