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General NPI Number Information
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NPI Number | 1427016989
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Entity Type | Individual
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Provider Name | ANGELA S KUECK MD
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Gender | Female
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Dates
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Enumeration Date | 05/03/2006
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Last Update Date | 01/04/2024
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Provider Practice Location Address
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Address Line | TRINITY HEALTH IHA MEDICAL GROUP GYNECOLOGY ONCOLOGY 5303 ELLIOT DRIVE SUITE 220
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City | YPSILANTI
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State | MI
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Zip | 48197-8632
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Country | US
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Telephone | 734-712-2005
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Fax | 734-712-2013
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Provider Business Mailing Address
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Address Line | 24 FRANK LLOYD WRIGHT DRIVE LOBBY J2000
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City | ANN ARBOR
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State | MI
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Zip | 48105
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Country | US
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Telephone | 972-997-8000
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Fax | 972-234-2987
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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 | 207VX0201X
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Taxonomy Name | Gynecologic Oncology Physician
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License Number | 049418
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License Number State | CT
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Taxonomy #2
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Taxonomy Code | 207VX0201X
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Taxonomy Name | Gynecologic Oncology Physician
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License Number | Q7907
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License Number State | TX
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Taxonomy #3
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Taxonomy Code | 207VX0201X
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Taxonomy Name | Gynecologic Oncology Physician
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License Number | 4301081158
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License Number State | MI
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