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General NPI Number Information
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NPI Number | 1003140427
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Entity Type | Individual
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Provider Name | ASHLEE ELIZABETH KRONGAARD PA
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Gender | Female
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Dates
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Enumeration Date | 10/01/2009
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Last Update Date | 03/13/2013
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Provider Practice Location Address
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Address Line | 4280 N ORACLE RD STE 100
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City | TUCSON
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State | AZ
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Zip | 85705-2101
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Country | US
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Telephone | 188-838-1485
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Fax |
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Provider Business Mailing Address
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Address Line | 2879 E PRESIDIO RD
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City | TUCSON
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State | AZ
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Zip | 85716-1539
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Country | US
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Telephone | 520-251-1770
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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 | 363AM0700X
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Taxonomy Name | Medical Physician Assistant
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License Number |
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License Number State |
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