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General NPI Number Information
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NPI Number | 1659556405
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Entity Type | Individual
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Provider Name | VALORIE KOZIOL P.T.
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Gender | Female
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Dates
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Enumeration Date | 12/28/2007
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Last Update Date | 12/28/2007
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Provider Practice Location Address
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Address Line | 1123 OXFORD CRES NE
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City | ATLANTA
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State | GA
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Zip | 30319-1624
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Country | US
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Telephone | 404-247-7959
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Fax | 404-459-6566
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Provider Business Mailing Address
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Address Line | PO BOX 28528
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City | ATLANTA
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State | GA
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Zip | 30358-0528
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Country | US
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Telephone | 404-247-7959
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Fax | 404-459-6566
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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 | 2251P0200X
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Taxonomy Name | Pediatric Physical Therapist
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License Number | PT006046
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License Number State | GA
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