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General NPI Number Information
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NPI Number | 1922011428
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Entity Type | Individual
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Provider Name | MARK TSUANG MD
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Gender | Male
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Dates
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Enumeration Date | 08/14/2006
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Last Update Date | 10/11/2011
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Provider Practice Location Address
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Address Line | 2123 AUBURN AVE STE 204
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City | CINCINNATI
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State | OH
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Zip | 45219
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Country | US
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Telephone | 513-421-8181
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Fax | 513-421-8188
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Provider Business Mailing Address
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Address Line | 2123 AUBURN AVE STE 204
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City | CINCINNATI
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State | OH
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Zip | 45219
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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 | 35043144
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License Number State | OH
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