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General NPI Number Information
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NPI Number | 1033368386
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Entity Type | Individual
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Provider Name | NATHAN JAMES KRYN D.D.S.
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Gender | Male
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Dates
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Enumeration Date | 09/11/2008
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Last Update Date | 04/29/2010
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Provider Practice Location Address
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Address Line | 101 WINDING WOOD DR
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City | CLAYTON
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State | NC
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Zip | 27520-4493
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Country | US
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Telephone | 919-553-8746
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Fax | 919-359-1712
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Provider Business Mailing Address
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Address Line | PO BOX 190
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City | CLAYTON
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State | NC
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Zip | 27528-0190
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Country | US
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Telephone | 919-553-8746
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Fax | 919-359-1712
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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 | 1223X0400X
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Taxonomy Name | Orthodontics and Dentofacial Orthopedics Dentistry
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License Number | 8231
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License Number State | NC
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