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General NPI Number Information
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NPI Number | 1912280074
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Entity Type | Individual
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Provider Name | ANITA JOY SZATKOWSKI PAC
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Gender | Female
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Dates
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Enumeration Date | 09/26/2011
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Last Update Date | 09/26/2011
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Provider Practice Location Address
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Address Line | 13700 ST FRANCIS BLVD EMERGENCY MEDICINE DEPARTMENT
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City | MIDLOTHIAN
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State | VA
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Zip | 23114-3222
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Country | US
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Telephone | 804-594-7950
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Fax | 804-594-7955
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Provider Business Mailing Address
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Address Line | 38935 ANN ARBOR RD CREDENTIALING/PAYER CONTRACTING
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City | LIVONIA
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State | MI
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Zip | 48150-3397
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Country | US
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Telephone | 734-632-0175
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Fax | 734-632-0182
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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 | 0110840425
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License Number State | VA
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