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General NPI Number Information
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NPI Number | 1568877447
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Entity Type | Organization
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Legal Business Name | DERMCARE EXPERTS LLC
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Dates
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Enumeration Date | 06/30/2014
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Last Update Date | 03/02/2021
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Provider Practice Location Address
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Address Line | 1250 HANCOCK ST SUITE 505S
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City | QUINCY
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State | MA
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Zip | 02169-4339
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Country | US
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Telephone | 781-253-7165
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Fax | 781-253-7166
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Provider Business Mailing Address
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Address Line | 1250 HANCOCK ST SUITE 505S
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City | QUINCY
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State | MA
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Zip | 02169-4339
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Country | US
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Telephone | 781-253-7165
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Fax | 781-253-7166
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Authorized Official
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Title or Position | MD/ OWNER
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Name | VICTORIA KUOHUNG
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Credential | MD
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Telephone | 781-253-7165
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207N00000X
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Taxonomy Name | Dermatology Physician
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License Number | 247440
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License Number State | MA
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