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General NPI Number Information
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NPI Number | 1952551863
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Entity Type | Organization
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Legal Business Name | KUHN MEDICAL CLINIC, LLC
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Dates
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Enumeration Date | 09/27/2008
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Last Update Date | 09/07/2023
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Provider Practice Location Address
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Address Line | 2240 KARISA DR STE 3
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City | GOSHEN
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State | IN
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Zip | 46526-6943
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Country | US
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Telephone | 574-537-8880
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Fax | 574-537-8881
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Provider Business Mailing Address
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Address Line | 2240 KARISA DR STE 3
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City | GOSHEN
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State | IN
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Zip | 46526-6943
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Country | US
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Telephone | 574-537-8880
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Fax | 574-537-8881
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Authorized Official
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Title or Position | OWNER
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Name | ANDREW L KUHN
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Credential | M.D.
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Telephone | 574-537-8880
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207Q00000X
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Taxonomy Name | Family Medicine Physician
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License Number | 01040732A
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License Number State | IN
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