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General NPI Number Information
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NPI Number | 1073044640
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Entity Type | Individual
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Provider Name | PAUL KREINBRINK M.D.
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Gender | Male
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Dates
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Enumeration Date | 03/24/2017
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Last Update Date | 09/10/2024
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Provider Practice Location Address
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Address Line | 2455 CORPORATE WEST DR
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City | LISLE
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State | IL
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Zip | 60532-3622
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Country | US
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Telephone | 312-942-5751
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Fax | 937-522-8068
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Provider Business Mailing Address
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Address Line | 2455 CORPORATE WEST DR
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City | LISLE
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State | IL
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Zip | 60532-3622
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Country | US
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Telephone | 312-942-5751
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Fax | 937-522-8068
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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 | 2085R0001X
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Taxonomy Name | Radiation Oncology Physician
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License Number | 35.145276
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License Number State | OH
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Taxonomy #2
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Taxonomy Code | 2085R0001X
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Taxonomy Name | Radiation Oncology Physician
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License Number | 036171834
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License Number State | IL
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