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General NPI Number Information
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NPI Number | 1538801469
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Entity Type | Individual
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Provider Name | KEVIN THOMAS KUUSKVERE DO
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Gender | Male
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Dates
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Enumeration Date | 04/11/2022
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Last Update Date | 08/19/2025
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Provider Practice Location Address
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Address Line | 2375 E PRATER WAY
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City | SPARKS
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State | NV
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Zip | 89434-9641
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Country | US
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Telephone | 954-939-5000
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Fax |
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Provider Business Mailing Address
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Address Line | 85 S 32ND ST
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City | BOULDER
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State | CO
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Zip | 80305-3487
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Country | US
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Telephone | 704-907-5029
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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 | 207P00000X
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Taxonomy Name | Emergency Medicine Physician
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License Number | 20A22261
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License Number State | CA
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Taxonomy #2
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Taxonomy Code | 207P00000X
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Taxonomy Name | Emergency Medicine Physician
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License Number | DO3949
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License Number State | NV
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