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General NPI Number Information
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NPI Number | 1700252186
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Entity Type | Organization
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Legal Business Name | DAVID S. JANOWSKY
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Dates
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Enumeration Date | 08/19/2015
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Last Update Date | 08/19/2015
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Provider Practice Location Address
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Address Line | 3551 FRONT ST
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City | SAN DIEGO
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State | CA
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Zip | 92103-4815
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Country | US
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Telephone | 919-265-9806
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Fax |
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Provider Business Mailing Address
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Address Line | 3551 FRONT ST
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City | SAN DIEGO
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State | CA
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Zip | 92103-4815
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Country | US
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Telephone |
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Fax |
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Authorized Official
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Title or Position | SOLE PROPRIETOR
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Name | DAVID S. JANOWSKY
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Credential | MD
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Telephone | 919-265-9806
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 2084P0800X
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Taxonomy Name | Psychiatry Physician
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License Number | A21830
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License Number State | CA
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