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General NPI Number Information
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NPI Number | 1942566757
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Entity Type | Individual
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Provider Name | MRS. TERI L KOZLOWSKI
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Gender | Female
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Dates
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Enumeration Date | 04/05/2012
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Last Update Date | 04/05/2012
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Provider Practice Location Address
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Address Line | 10605 CONCORD ST SUITE 102
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City | KENSINGTON
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State | MD
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Zip | 20895-2504
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Country | US
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Telephone | 301-933-7880
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Fax | 301-933-7911
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Provider Business Mailing Address
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Address Line | 164 W MAIN ST SUITE F
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City | NEW MARKET
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State | MD
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Zip | 21774-6279
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Country | US
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Telephone | 301-865-9740
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Fax | 301-865-9741
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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 | 225XP0200X
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Taxonomy Name | Pediatric Occupational Therapist
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License Number | 01882
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License Number State | MD
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