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General NPI Number Information
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NPI Number | 1952566895
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Entity Type | Individual
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Provider Name | CHRISANTHY ZOWTIAK MD
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Gender | Female
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Dates
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Enumeration Date | 07/21/2008
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Last Update Date | 01/23/2024
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Provider Practice Location Address
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Address Line | 413 SOUTH LOOP ROAD ST. ELIZABETH HEALTHCARE CENTER FOR FAMILY MEDICINE
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City | EDGEWOOD
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State | KY
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Zip | 41017-5446
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Country | US
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Telephone | 859-301-3800
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Fax | 859-301-3987
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Provider Business Mailing Address
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Address Line | 413 S LOOP RD
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City | EDGEWOOD
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State | KY
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Zip | 41017-5446
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Country | US
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Telephone | 859-301-3800
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Fax | 859-301-3820
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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 | 207Q00000X
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Taxonomy Name | Family Medicine Physician
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License Number | LL17963
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License Number State | OR
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Taxonomy #2
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Taxonomy Code | 207Q00000X
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Taxonomy Name | Family Medicine Physician
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License Number | TP002
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License Number State | KY
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Taxonomy #3
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Taxonomy Code | 207Q00000X
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Taxonomy Name | Family Medicine Physician
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License Number | 47655
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License Number State | KY
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