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General NPI Number Information
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NPI Number | 1750567103
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Entity Type | Organization
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Legal Business Name | USHA KUNDU MD FACOG PA
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Dates
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Enumeration Date | 01/16/2008
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Last Update Date | 04/07/2017
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Provider Practice Location Address
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Address Line | 5500 N DAVIS HWY SUITE 1
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City | PENSACOLA
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State | FL
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Zip | 32503-2064
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Country | US
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Telephone | 850-476-9802
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Fax | 850-476-9841
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Provider Business Mailing Address
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Address Line | 5500 N DAVIS HWY SUITE 1 1
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City | PENSACOLA
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State | FL
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Zip | 32503-2064
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Country | US
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Telephone | 850-476-9802
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Fax | 850-476-9841
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Authorized Official
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Title or Position | DOCTOR
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Name | DR. USHA KUNDU
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Credential | M.D
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Telephone | 850-476-9802
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207VG0400X
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Taxonomy Name | Gynecology Physician
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License Number | ME38199
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License Number State | FL
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