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General NPI Number Information
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NPI Number | 1447334826
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Entity Type | Organization
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Legal Business Name | NORMAN KUO MD PHD PROFESSIONAL CORPORATION
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Dates
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Enumeration Date | 10/24/2006
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Last Update Date | 06/12/2020
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Provider Practice Location Address
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Address Line | 5471 LA PALMA AVE SUITE 105
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City | LA PALMA
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State | CA
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Zip | 90623-1745
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Country | US
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Telephone | 714-521-0239
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Fax | 714-739-2862
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Provider Business Mailing Address
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Address Line | PO BOX 2593
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City | CYPRESS
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State | CA
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Zip | 90630-1293
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Country | US
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Telephone | 714-521-0239
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Fax | 714-739-2862
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Authorized Official
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Title or Position | OFFICE MANAGER
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Name | EMILY MING KUO
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Credential |
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Telephone | 714-521-0239
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207RG0100X
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Taxonomy Name | Gastroenterology Physician
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License Number | A37079
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License Number State | CA
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