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General NPI Number Information
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NPI Number | 1942282470
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Entity Type | Individual
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Provider Name | ROBERT WOZNIAK M.D.
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Gender | Male
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Dates
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Enumeration Date | 11/18/2005
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Last Update Date | 08/06/2019
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Provider Practice Location Address
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Address Line | 410 S HERLONG AVE SUITE 106
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City | ROCK HILL
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State | SC
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Zip | 29732-8349
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Country | US
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Telephone | 803-329-3899
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Fax | 803-327-3438
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Provider Business Mailing Address
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Address Line | 410 S HERLONG AVE SUITE 106
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City | ROCK HILL
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State | SC
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Zip | 29732-8349
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Country | US
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Telephone | 803-329-3899
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Fax | 803-327-3438
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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 | 207RE0101X
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Taxonomy Name | Endocrinology, Diabetes & Metabolism Physician
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License Number | 21019
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License Number State | SC
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