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General NPI Number Information
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NPI Number | 1932366242
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Entity Type | Organization
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Legal Business Name | CHRISTOPHER KOWALSKI DDS PC
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Dates
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Enumeration Date | 05/22/2008
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Last Update Date | 03/28/2013
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Provider Practice Location Address
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Address Line | 566 E NORTHWEST HWY
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City | PALATINE
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State | IL
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Zip | 60074-6355
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Country | US
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Telephone | 847-202-0033
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Fax | 847-202-0533
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Provider Business Mailing Address
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Address Line | 566 E NORTHWEST HIGHWAY
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City | PALATINE
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State | IL
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Zip | 60074-6355
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Country | US
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Telephone | 847-202-0033
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Fax | 847-202-0533
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Authorized Official
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Title or Position | PRESIDENT
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Name | CHRISTOPHER KOWALSKI
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Credential | D.D.S.
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Telephone | 847-202-0033
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261QD0000X
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Taxonomy Name | Dental Clinic/Center
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License Number |
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License Number State |
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