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General NPI Number Information
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NPI Number | 1972699635
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Entity Type | Individual
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Provider Name | FREDERICUS J. VAN KUIJK M.D.
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Gender | Male
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Dates
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Enumeration Date | 10/04/2006
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Last Update Date | 10/07/2025
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Provider Practice Location Address
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Address Line | 700 UNIVERSITY BLVD
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City | GALVESTON
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State | TX
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Zip | 77550-5552
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Country | US
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Telephone | 409-747-5800
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Fax | 409-747-5825
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Provider Business Mailing Address
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Address Line | 720 WASHINGTON AVE SE
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City | MINNEAPOLIS
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State | MN
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Zip | 55414-2924
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Country | US
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Telephone | 612-884-0649
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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 | 207WX0107X
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Taxonomy Name | Retina Specialist (Ophthalmology) Physician
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License Number | K8547
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License Number State | TX
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Taxonomy #2
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Taxonomy Code | 207W00000X
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Taxonomy Name | Ophthalmology Physician
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License Number | K8547
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License Number State | TX
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