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General NPI Number Information
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NPI Number | 1437113099
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Entity Type | Organization
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Legal Business Name | KUCHARCZUK & SMITH INC
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Dates
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Enumeration Date | 04/12/2006
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Last Update Date | 06/21/2009
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Provider Practice Location Address
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Address Line | 1357 MAIN ST
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City | NORTHAMPTON
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State | PA
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Zip | 18067-1613
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Country | US
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Telephone | 610-262-9091
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Fax | 610-262-1566
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Provider Business Mailing Address
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Address Line | 1357 MAIN ST
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City | NORTHAMPTON
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State | PA
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Zip | 18067-1613
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Country | US
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Telephone | 610-262-9091
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Fax | 610-262-1566
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Authorized Official
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Title or Position | PRESIDENT
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Name | JOHN B KUCHARCZUK
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Credential | MD
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Telephone | 610-262-9091
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207V00000X
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Taxonomy Name | Obstetrics & Gynecology Physician
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License Number | MD023597-L
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License Number State | PA
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