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General NPI Number Information
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NPI Number | 1962159897
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Entity Type | Individual
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Provider Name | KATERINA LAMIANSKI
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Gender | Female
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Dates
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Enumeration Date | 03/10/2022
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Last Update Date | 07/19/2024
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Provider Practice Location Address
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Address Line | 2003 WASHINGTON VALLEY RD
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City | MARTINSVILLE
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State | NJ
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Zip | 08836-2062
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Country | US
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Telephone | 908-443-1362
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Fax |
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Provider Business Mailing Address
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Address Line | PO BOX 95000, LB#7550
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City | PHILADELPHIA
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State | PA
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Zip | 19195-2128
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Country | US
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Telephone | 844-362-1735
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Fax |
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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 | 208000000X
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Taxonomy Name | Pediatrics Physician
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License Number | 25MP00695100
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License Number State | NJ
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Taxonomy #2
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Taxonomy Code | 363A00000X
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Taxonomy Name | Physician Assistant
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License Number | 25MP00695100
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License Number State | NJ
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