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General NPI Number Information
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NPI Number | 1982928511
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Entity Type | Individual
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Provider Name | CHRISTINA TORRES KOZYCKI MD
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Gender | Female
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Dates
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Enumeration Date | 03/25/2010
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Last Update Date | 08/08/2023
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Provider Practice Location Address
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Address Line | 10 CENTER DRIVE BUILDING 10
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City | BETHESDA
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State | MD
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Zip | 20892-1852
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Country | US
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Telephone | 706-333-4049
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Fax | 301-480-5108
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Provider Business Mailing Address
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Address Line | 10 CENTER DRIVE BUILDING 10, ROOM B3-4156
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City | BETHESDA
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State | MD
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Zip | 20892-1852
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Country | US
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Telephone | 706-333-4049
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Fax | 301-480-5108
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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 | MD046197
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License Number State | DC
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Taxonomy #2
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Taxonomy Code | 207RI0200X
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Taxonomy Name | Infectious Disease Physician
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License Number | MD046197
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License Number State | DC
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