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General NPI Number Information
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NPI Number | 1548620990
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Entity Type | Organization
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Legal Business Name | DR WILBUR KUO & ASSOCIATES INTERNAL MEDICINE LLC
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Dates
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Enumeration Date | 02/28/2016
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Last Update Date | 05/26/2024
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Provider Practice Location Address
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Address Line | 5965 EXCHANGE DR STE A-B
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City | SYKESVILLE
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State | MD
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Zip | 21784-9254
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Country | US
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Telephone | 410-552-8126
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Fax | 443-458-7220
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Provider Business Mailing Address
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Address Line | 5965 EXCHANGE DR STE A-B
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City | SYKESVILLE
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State | MD
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Zip | 21784-9254
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Country | US
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Telephone | 410-552-8126
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Fax | 443-458-7220
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Authorized Official
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Title or Position | PHYSICIAN
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Name | DR. WILBUR KUO
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Credential | M.D.
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Telephone | 410-552-8126
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207R00000X
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Taxonomy Name | Internal Medicine Physician
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License Number | D0058137
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License Number State | MD
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