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General NPI Number Information
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NPI Number | 1689780959
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Entity Type | Individual
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Provider Name | AMANDA KOWALSKI PA-C
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Gender | Female
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Dates
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Enumeration Date | 08/21/2006
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Last Update Date | 10/18/2024
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Provider Practice Location Address
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Address Line | 3333 CATTLEMEN RD SUITE 106
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City | SARASOTA
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State | FL
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Zip | 34232-6056
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Country | US
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Telephone | 941-379-1799
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Fax | 941-379-1899
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Provider Business Mailing Address
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Address Line | 3333 CATTLEMEN RD SUITE 106
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City | SARASOTA
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State | FL
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Zip | 34232-6056
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Country | US
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Telephone | 941-379-1799
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Fax | 941-379-1899
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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 | 363AM0700X
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Taxonomy Name | Medical Physician Assistant
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License Number | MA 051508
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License Number State | PA
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Taxonomy #2
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Taxonomy Code | 363AM0700X
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Taxonomy Name | Medical Physician Assistant
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License Number | PA 9103694
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License Number State | FL
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