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General NPI Number Information
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NPI Number | 1427872282
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Entity Type | Individual
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Provider Name | MICHELLE KUTSAK FNP
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Gender | Female
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Dates
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Enumeration Date | 11/08/2024
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Last Update Date | 09/11/2025
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Provider Practice Location Address
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Address Line | 2952 BRIGHTON 3RD ST STE 401
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City | BROOKLYN
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State | NY
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Zip | 11235-7079
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Country | US
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Telephone | 718-975-3833
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Fax |
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Provider Business Mailing Address
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Address Line | 7701 BAY PKWY APT 3B
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City | BROOKLYN
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State | NY
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Zip | 11214-1595
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Country | US
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Telephone |
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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 | 207RE0101X
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Taxonomy Name | Endocrinology, Diabetes & Metabolism Physician
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License Number | F354740-01
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License Number State | NY
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