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General NPI Number Information
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NPI Number | 1669451597
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Entity Type | Individual
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Provider Name | SU-CHIAO KUO MD
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Gender | Female
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Dates
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Enumeration Date | 01/10/2006
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Last Update Date | 11/23/2011
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Provider Practice Location Address
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Address Line | 3724 CENTER RD SUITE 102
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City | BRUNSWICK
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State | OH
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Zip | 44212
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Country | US
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Telephone | 330-225-7733
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Fax | 330-220-0902
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Provider Business Mailing Address
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Address Line | 3724 CENTER RD SUITE 102
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City | BRUNSWICK
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State | OH
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Zip | 44212
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Country | US
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Telephone | 330-225-7733
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Fax | 330-220-0902
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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 | 207RH0003X
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Taxonomy Name | Hematology & Oncology Physician
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License Number | 35052983
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License Number State | OH
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