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General NPI Number Information
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NPI Number | 1982376182
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Entity Type | Organization
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Legal Business Name | DERMCARE EXPERTS LLC
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Dates
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Enumeration Date | 10/05/2021
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Last Update Date | 10/05/2021
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Provider Practice Location Address
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Address Line | 1250 HANCOCK ST STE 505S
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City | QUINCY
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State | MA
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Zip | 02169-4339
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Country | US
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Telephone | 781-253-7165
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Fax | 781-253-7166
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Provider Business Mailing Address
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Address Line | 1250 HANCOCK ST STE 505S
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City | QUINCY
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State | MA
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Zip | 02169-4339
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Country | US
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Telephone | 781-253-7165
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Fax | 781-253-7166
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Authorized Official
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Title or Position | OWNER
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Name | VICTORIA KUOHUNH
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Credential | MD
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Telephone | 781-253-7165
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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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