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NPI Code Detail

MEDICARE: FRANK KOLASINSKI

MEDICARE:   FRANK  KOLASINSKI
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1101YA0400XAddiction (Substance Use Disorder) Counselor1589ADMA

General Provider Information

NPI Number : 1083121362
Entity Type Code : Individual
Provider Name (Legal Business Name) : FRANK KOLASINSKI
Provider Business Mailing Address
First Line : 5104 REAGAN DR STE 5
Second Line :
City : CHARLOTTE
State : NC
Zip : 28206-1392
Country : US
Telephone Number : 704-596-0505
Fax Number : 704-596-0507
Provider Business Practice Location Address
First Line : 5104 REAGAN DR STE 5
Second Line :
City : CHARLOTTE
State : NC
Zip : 28206-1392
Country : US
Telephone Number : 704-596-0505
Fax Number : 704-596-0507
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 01/08/2018
Last Update Date : 01/08/2018

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