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General NPI Number Information
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NPI Number | 1679729701
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Entity Type | Individual
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Provider Name | EUGENE F KUCHNER M.D.
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Gender | Male
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Dates
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Enumeration Date | 08/08/2008
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Last Update Date | 08/08/2008
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Provider Practice Location Address
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Address Line | 10 TALLMADGE GATE
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City | SETAUKET
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State | NY
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Zip | 11733-1418
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Country | US
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Telephone | 631-689-8884
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Fax | 631-689-0250
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Provider Business Mailing Address
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Address Line | PO BOX 2801
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City | SETAUKET
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State | NY
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Zip | 11733-0860
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Country | US
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Telephone | 631-689-8884
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Fax | 631-689-0250
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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 | 207T00000X
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Taxonomy Name | Neurological Surgery Physician
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License Number | 112597
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License Number State | NY
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