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General NPI Number Information
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NPI Number | 1760150668
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Entity Type | Individual
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Provider Name | BRIANNA KOWALSKY OTR/L
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Gender | Female
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Dates
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Enumeration Date | 09/03/2021
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Last Update Date | 09/03/2021
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Provider Practice Location Address
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Address Line | 535 HOSPITAL RD
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City | NEW RICHMOND
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State | WI
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Zip | 54017-1449
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Country | US
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Telephone | 715-243-2760
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Fax |
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Provider Business Mailing Address
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Address Line | 12401 OAK PARK BLVD NE APT 214
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City | BLAINE
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State | MN
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Zip | 55434-7324
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Country | US
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Telephone | 262-930-6071
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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 | 225X00000X
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Taxonomy Name | Occupational Therapist
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License Number | 106616
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License Number State | MN
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Taxonomy #2
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Taxonomy Code | 225X00000X
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Taxonomy Name | Occupational Therapist
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License Number | 7071-26
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License Number State | WI
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