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General NPI Number Information
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NPI Number | 1457414625
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Entity Type | Individual
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Provider Name | ADAM CUKER MD
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Gender | Male
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Dates
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Enumeration Date | 12/19/2006
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Last Update Date | 04/10/2012
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Provider Practice Location Address
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Address Line | 3400 CIVIC CENTER BLVD.
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City | PHILADELPHIA
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State | PA
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Zip | 19104-5127
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Country | US
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Telephone | 215-615-5858
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Fax | 215-349-8144
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Provider Business Mailing Address
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Address Line | 3400 CIVIC CENTER BOULEVARD
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City | PHILADELPHIA
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State | PA
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Zip | 19104-5127
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Country | US
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Telephone | 215-615-5858
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Fax | 215-349-8144
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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 | 207RH0003X
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Taxonomy Name | Hematology & Oncology Physician
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License Number | MT187943
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License Number State | PA
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Taxonomy #2
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Taxonomy Code | 207RH0003X
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Taxonomy Name | Hematology & Oncology Physician
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License Number | MD429174
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License Number State | PA
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Taxonomy #3
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Taxonomy Code | 207RH0000X
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Taxonomy Name | Hematology (Internal Medicine) Physician
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License Number | MD429174
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License Number State | PA
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Taxonomy #4
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Taxonomy Code | 207RX0202X
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Taxonomy Name | Medical Oncology Physician
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License Number | MD429174
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License Number State | PA
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