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General NPI Number Information
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NPI Number | 1639268162
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Entity Type | Individual
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Provider Name | ROBERT KOWALSKI PT
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Gender | Male
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Dates
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Enumeration Date | 10/12/2006
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Last Update Date | 07/08/2007
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Provider Practice Location Address
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Address Line | 4400 US HIGHWAY 9
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City | FREEHOLD
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State | NJ
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Zip | 07728-1383
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Country | US
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Telephone | 732-493-3624
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Fax |
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Provider Business Mailing Address
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Address Line | 302 BRINLEY AVE
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City | BRADLEY BEACH
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State | NJ
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Zip | 07720-1308
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Country | US
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Telephone | 732-599-2550
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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 | 225100000X
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Taxonomy Name | Physical Therapist
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License Number | 40QA00726300
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License Number State | NJ
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