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General NPI Number Information
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NPI Number | 1831203884
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Entity Type | Individual
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Provider Name | MICHAEL P KUCHER OD
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Gender | Male
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Dates
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Enumeration Date | 08/18/2006
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Last Update Date | 11/14/2016
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Provider Practice Location Address
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Address Line | 241 THREE SPRINGS DR STE 14
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City | WEIRTON
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State | WV
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Zip | 26062-3866
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Country | US
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Telephone | 304-748-2055
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Fax | 304-748-2054
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Provider Business Mailing Address
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Address Line | 126 OLD QUARRY RD
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City | CLINTON
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State | PA
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Zip | 15026-1546
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Country | US
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Telephone | 304-748-2055
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Fax | 304-748-2054
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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 | 152W00000X
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Taxonomy Name | Optometrist
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License Number | OEG001175
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License Number State | PA
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Taxonomy #2
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Taxonomy Code | 152W00000X
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Taxonomy Name | Optometrist
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License Number | 703OD
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License Number State | WV
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