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General NPI Number Information
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NPI Number | 1477644953
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Entity Type | Individual
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Provider Name | MARTIN L. KUTSCHER M.D.
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Gender | Male
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Dates
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Enumeration Date | 09/27/2006
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Last Update Date | 07/08/2007
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Provider Practice Location Address
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Address Line | 800 WESTCHESTER AVE STE N641
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City | RYE BROOK
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State | NY
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Zip | 10573-1354
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Country | US
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Telephone | 914-232-1810
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Fax | 914-455-4727
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Provider Business Mailing Address
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Address Line | 800 WESTCHESTER AVE STE N641
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City | RYE BROOK
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State | NY
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Zip | 10573-1354
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Country | US
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Telephone | 914-232-1810
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Fax | 914-455-4727
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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 | 2084N0402X
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Taxonomy Name | Neurology with Special Qualifications in Child Neurology Physician
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License Number | 165778
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License Number State | NY
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