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General NPI Number Information
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NPI Number | 1972164937
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Entity Type | Organization
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Legal Business Name | KUCHNIR REALTY, LLC
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Dates
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Enumeration Date | 06/21/2019
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Last Update Date | 06/21/2019
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Provider Practice Location Address
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Address Line | 11 APEX DR STE 103A
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City | MARLBOROUGH
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State | MA
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Zip | 01752-1860
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Country | US
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Telephone | 508-485-7779
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Fax | 508-485-7769
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Provider Business Mailing Address
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Address Line | 15 FOXHILL DR
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City | SOUTHBOROUGH
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State | MA
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Zip | 01772-1778
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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 | PRACTICE MANAGER
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Name | KAREN KUCHNIR
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Credential |
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Telephone | 508-330-1163
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207N00000X
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Taxonomy Name | Dermatology Physician
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License Number |
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License Number State |
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