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General NPI Number Information
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NPI Number | 1689855793
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Entity Type | Individual
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Provider Name | JULIE A KOTOWSKI PA-C
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Gender | Female
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Dates
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Enumeration Date | 11/16/2007
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Last Update Date | 08/14/2013
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Provider Practice Location Address
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Address Line | 320 W EXCHANGE ST
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City | AKRON
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State | OH
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Zip | 44302-1709
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Country | US
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Telephone | 330-535-4428
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Fax | 330-535-4451
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Provider Business Mailing Address
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Address Line | 2651 W MARKET ST
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City | FAIRLAWN
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State | OH
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Zip | 44333-4200
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Country | US
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Telephone | 330-864-8008
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Fax | 330-864-0931
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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 | 363A00000X
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Taxonomy Name | Physician Assistant
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License Number | 50-000771
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License Number State | OH
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