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General NPI Number Information
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NPI Number | 1689997587
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Entity Type | Individual
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Provider Name | JANET MARING KOWALSKI PH.D.
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Gender | Female
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Dates
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Enumeration Date | 03/05/2010
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Last Update Date | 01/10/2017
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Provider Practice Location Address
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Address Line | 12220 113TH AVE NE STE 210
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City | KIRKLAND
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State | WA
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Zip | 98034-6950
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Country | US
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Telephone | 425-777-5524
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Fax | 844-284-8621
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Provider Business Mailing Address
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Address Line | 216 107TH PL SE
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City | BELLEVUE
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State | WA
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Zip | 98004-6296
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Country | US
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Telephone | 415-306-2503
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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 | 103TC0700X
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Taxonomy Name | Clinical Psychologist
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License Number | PSY 15817
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License Number State | CA
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