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General NPI Number Information
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NPI Number | 1689421547
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Entity Type | Individual
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Provider Name | KATARINA SARAH D'AMICO-KOSOWICZ
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Gender | Female
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Dates
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Enumeration Date | 04/30/2024
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Last Update Date | 04/30/2024
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Provider Practice Location Address
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Address Line | 525 N 6TH ST
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City | MILWAUKEE
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State | WI
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Zip | 53203-2703
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Country | US
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Telephone | 414-288-6187
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Fax |
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Provider Business Mailing Address
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Address Line | 7829 SHERMAN CT
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City | CEDARBURG
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State | WI
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Zip | 53012-8931
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Country | US
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Telephone | 414-852-5555
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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 | 106S00000X
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Taxonomy Name | Behavior Technician
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License Number |
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License Number State |
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