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General NPI Number Information
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NPI Number | 1609804863
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Entity Type | Individual
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Provider Name | VICTOR ANTHONY KUCHMANER D.C.
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Gender | Male
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Dates
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Enumeration Date | 06/28/2006
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Last Update Date | 05/04/2016
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Provider Practice Location Address
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Address Line | 1570 S CANFIELD NILES RD BUILDING A, SUITE 103
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City | AUSTINTOWN
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State | OH
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Zip | 44515-4077
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Country | US
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Telephone | 330-793-4445
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Fax | 330-793-1990
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Provider Business Mailing Address
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Address Line | 10922 S TRYON ST STE B
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City | CHARLOTTE
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State | NC
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Zip | 28273-4152
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Country | US
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Telephone | 704-588-3433
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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 | 111N00000X
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Taxonomy Name | Chiropractor
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License Number | 4155
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License Number State | NC
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