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General NPI Number Information
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NPI Number | 1669882619
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Entity Type | Individual
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Provider Name | URSZULA ANNA POLSKA MSN, CRNP
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Gender | Female
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Dates
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Enumeration Date | 04/29/2014
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Last Update Date | 02/22/2023
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Provider Practice Location Address
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Address Line | 28720 US HIGHWAY 98 STE 1
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City | DAPHNE
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State | AL
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Zip | 36526-7268
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Country | US
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Telephone | 251-263-3229
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Fax | 936-244-4455
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Provider Business Mailing Address
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Address Line | 28720 US HIGHWAY 98 STE 1
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City | DAPHNE
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State | AL
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Zip | 36526-7268
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Country | US
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Telephone | 251-263-3229
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Fax | 936-244-4455
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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 | 363L00000X
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Taxonomy Name | Nurse Practitioner
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License Number | 1-093688
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License Number State | AL
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