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General NPI Number Information
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NPI Number | 1801939418
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Entity Type | Individual
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Provider Name | WAYNE KUO DDS
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Gender | Male
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Dates
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Enumeration Date | 02/14/2007
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Last Update Date | 07/18/2013
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Provider Practice Location Address
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Address Line | 5022 AIRPORT PULLING RD N UNIT #22
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City | NAPLES
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State | FL
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Zip | 34105-2407
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Country | US
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Telephone | 239-649-0598
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Fax | 239-649-7147
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Provider Business Mailing Address
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Address Line | 120 JACARANDA DR #207
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City | PLANTATION
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State | FL
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Zip | 33324-2596
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Country | US
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Telephone | 702-354-8855
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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 | 1223P0300X
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Taxonomy Name | Periodontics
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License Number | 16378
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License Number State | FL
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