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General NPI Number Information
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NPI Number | 1205020757
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Entity Type | Individual
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Provider Name | THOMAS DUGAN KUZMA D.C.
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Gender | Male
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Dates
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Enumeration Date | 08/28/2007
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Last Update Date | 08/28/2007
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Provider Practice Location Address
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Address Line | 911 13TH ST NW
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City | BUFFALO
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State | MN
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Zip | 55313-4445
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Country | US
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Telephone | 952-484-0379
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Fax |
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Provider Business Mailing Address
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Address Line | 215 HIGHWAY 55 E SUITE NUMBER 201
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City | BUFFALO
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State | MN
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Zip | 55313-8905
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Country | US
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Telephone | 763-684-1111
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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 | 111N00000X
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Taxonomy Name | Chiropractor
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License Number | 4954
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License Number State | MN
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