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General NPI Number Information
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NPI Number | 1013329572
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Entity Type | Individual
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Provider Name | BRANDON KRUPALA D.C.
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Gender | Male
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Dates
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Enumeration Date | 06/02/2014
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Last Update Date | 06/02/2014
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Provider Practice Location Address
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Address Line | 911 CENTRAL PKWY N STE 300
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City | SAN ANTONIO
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State | TX
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Zip | 78232-5053
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Country | US
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Telephone | 956-254-3071
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Fax |
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Provider Business Mailing Address
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Address Line | 3413 SPYGLASS HILL DR
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City | HARLINGEN
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State | TX
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Zip | 78550-7834
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Country | US
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Telephone | 956-245-0978
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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 | 111N00000X
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Taxonomy Name | Chiropractor
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License Number | 12648
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License Number State | TX
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