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NPI 1730409970

NPI 1730409970 : KEVIN HSU D.O. : TAMPA, FL

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General NPI Number Information
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    NPI Number           |    1730409970
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    Entity Type          |    Individual 
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    Provider Name        |    KEVIN HSU D.O.
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    Gender               |    Male 
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Dates
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    Enumeration Date     |    06/10/2010
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    Last Update Date     |    09/20/2023
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Provider Practice Location Address
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    Address Line         |    7425 MONIKA MANOR DR 
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    City                 |    TAMPA
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    State                |    FL
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    Zip                  |    33625-5814
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    Country              |    US
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    Telephone            |    813-879-8045
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    Fax                  |    813-960-3299
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Provider Business Mailing Address
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    Address Line         |    7425 MONIKA MANOR DR 
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    City                 |    TAMPA
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    State                |    FL
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    Zip                  |    33625-5814
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    Country              |    US
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    Telephone            |    813-879-8045
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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        |    207YX0905X
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    Taxonomy Name        |    Otolaryngology/Facial Plastic Surgery Physician
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    License Number       |    OT013694
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    License Number State |    PA
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Taxonomy #2
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    Taxonomy Code        |    207YX0905X
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    Taxonomy Name        |    Otolaryngology/Facial Plastic Surgery Physician
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    License Number       |    OS16514
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    License Number State |    FL
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Taxonomy #3
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    Taxonomy Code        |    207YX0905X
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    Taxonomy Name        |    Otolaryngology/Facial Plastic Surgery Physician
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    License Number       |    260512
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    License Number State |    MA
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Taxonomy #4
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    Taxonomy Code        |    207YX0905X
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    Taxonomy Name        |    Otolaryngology/Facial Plastic Surgery Physician
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    License Number       |    17367
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    License Number State |    NH
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