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General NPI Number Information
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NPI Number | 1306809595
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Entity Type | Individual
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Provider Name | ELIZABETH M. KUCHAR MBA, ATC
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Gender | Female
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Dates
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Enumeration Date | 04/10/2006
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Last Update Date | 07/08/2007
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Provider Practice Location Address
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Address Line | 333 COLFAX AVE
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City | CLIFTON
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State | NJ
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Zip | 07013-1701
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Country | US
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Telephone | 973-420-2524
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Fax |
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Provider Business Mailing Address
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Address Line | 239 MAIN ST
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City | METUCHEN
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State | NJ
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Zip | 08840-2727
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Country | US
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Telephone | 732-713-0160
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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 | 2255A2300X
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Taxonomy Name | Athletic Trainer
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License Number |
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License Number State |
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