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General NPI Number Information
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NPI Number | 1326071853
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Entity Type | Organization
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Legal Business Name | SHERYL HABER KUO MD PC
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Dates
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Enumeration Date | 07/08/2006
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Last Update Date | 01/11/2012
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Provider Practice Location Address
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Address Line | 2312 WHITEHORSE MERCERVILLE RD SUITE #201
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City | TRENTON
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State | NJ
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Zip | 08619-1953
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Country | US
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Telephone | 609-586-9566
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Fax | 609-586-9055
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Provider Business Mailing Address
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Address Line | 2312 WHITEHORSE MERCERVILLE RD SUITE #201
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City | TRENTON
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State | NJ
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Zip | 08619-1953
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Country | US
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Telephone | 609-586-9566
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Fax | 609-586-9055
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Authorized Official
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Title or Position | PHYSICIAN/OWNER
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Name | DR. SHERYL HABER KUO
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Credential | MD
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Telephone | 609-586-9566
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207R00000X
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Taxonomy Name | Internal Medicine Physician
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License Number | 63867
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License Number State | NJ
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