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General NPI Number Information
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NPI Number | 1598046849
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Entity Type | Individual
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Provider Name | KRASNA SENG KUOCH D.N., P.M.D (IP) DEM
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Gender | Male
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Dates
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Enumeration Date | 08/31/2011
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Last Update Date | 02/28/2012
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Provider Practice Location Address
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Address Line | 5150 BUFORD HWY NE SUITE A120
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City | DORAVILLE
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State | GA
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Zip | 30340-1153
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Country | US
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Telephone | 770-597-8181
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Fax |
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Provider Business Mailing Address
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Address Line | 5150 BUFORD HWY NE SUITE A120
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City | DORAVILLE
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State | GA
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Zip | 30340-1153
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Country | US
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Telephone | 770-986-9338
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Fax | 770-986-9337
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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 | 172P00000X
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Taxonomy Name | Naprapath
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License Number | 181.000330
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License Number State | IL
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