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General NPI Number Information
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NPI Number | 1740644145
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Entity Type | Individual
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Provider Name | VICTOR KUCHEROV MD
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Gender | Male
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Dates
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Enumeration Date | 04/12/2016
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Last Update Date | 02/17/2025
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Provider Practice Location Address
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Address Line | 125 LATTIMORE RD
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City | ROCHESTER
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State | NY
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Zip | 14620-4159
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Country | US
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Telephone | 585-275-3342
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Fax |
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Provider Business Mailing Address
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Address Line | 601 ELMWOOD AVE BOX 656
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City | ROCHESTER
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State | NY
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Zip | 14642-0001
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Country | US
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Telephone |
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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 | 208800000X
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Taxonomy Name | Urology Physician
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License Number | MT210872
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License Number State | PA
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Taxonomy #2
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Taxonomy Code | 2088P0231X
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Taxonomy Name | Pediatric Urology Physician
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License Number | MD210002642
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License Number State | DC
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Taxonomy #3
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Taxonomy Code | 2088P0231X
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Taxonomy Name | Pediatric Urology Physician
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License Number | 328552
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License Number State | NY
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