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General NPI Number Information
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NPI Number | 1396855664
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Entity Type | Individual
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Provider Name | DARRIN J KUCZYNSKI MD
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Gender | Male
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Dates
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Enumeration Date | 08/30/2006
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Last Update Date | 08/24/2012
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Provider Practice Location Address
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Address Line | 205 HOSPITAL DR
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City | DOVER
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State | OH
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Zip | 44622-2058
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Country | US
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Telephone | 330-343-3335
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Fax | 330-364-5720
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Provider Business Mailing Address
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Address Line | 205 HOSPITAL DR
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City | DOVER
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State | OH
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Zip | 44622-2058
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Country | US
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Telephone | 330-343-3335
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Fax | 330-364-5720
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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 | 207X00000X
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Taxonomy Name | Orthopaedic Surgery Physician
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License Number | 35-065725
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License Number State | OH
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