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General NPI Number Information
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NPI Number | 1033734694
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Entity Type | Individual
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Provider Name | NEAL R KRENTZ DO
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Gender | Male
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Dates
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Enumeration Date | 06/10/2020
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Last Update Date | 06/28/2025
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Provider Practice Location Address
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Address Line | 3126 N CIVIC CENTER PLZ
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City | SCOTTSDALE
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State | AZ
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Zip | 85251-6912
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Country | US
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Telephone | 480-874-2040
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Fax | 480-874-2041
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Provider Business Mailing Address
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Address Line | 4900 N 44TH ST APT 4055
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City | PHOENIX
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State | AZ
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Zip | 85018-2882
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Country | US
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Telephone | 248-410-4889
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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 | 390200000X
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Taxonomy Name | Student in an Organized Health Care Education/Training Program
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License Number |
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License Number State | MI
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Taxonomy #2
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Taxonomy Code | 207X00000X
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Taxonomy Name | Orthopaedic Surgery Physician
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License Number | 011660
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License Number State | AZ
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