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General NPI Number Information
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NPI Number | 1821726993
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Entity Type | Individual
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Provider Name | PRISCILLA KUCER
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Gender | Female
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Dates
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Enumeration Date | 08/08/2022
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Last Update Date | 08/08/2022
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Provider Practice Location Address
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Address Line | 4500 CRIMSON CT
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City | ORLANDO
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State | FL
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Zip | 32808-2202
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Country | US
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Telephone | 954-773-4105
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Fax |
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Provider Business Mailing Address
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Address Line | 1901 ONION CREEK PKWY APT 12105
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City | AUSTIN
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State | TX
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Zip | 78748-1978
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Country | US
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Telephone | 954-773-4105
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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 | 103TS0200X
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Taxonomy Name | School Psychologist
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License Number | SS1249
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License Number State | FL
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