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General NPI Number Information
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NPI Number | 1114246972
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Entity Type | Organization
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Legal Business Name | JEFFREY J KREBS, DO, PC
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Dates
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Enumeration Date | 05/19/2010
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Last Update Date | 06/16/2010
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Provider Practice Location Address
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Address Line | 5 HILLCREST PLAZA WAY
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City | MONTROSE
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State | CO
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Zip | 81401-5876
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Country | US
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Telephone | 970-249-9678
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Fax | 970-249-1868
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Provider Business Mailing Address
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Address Line | 5 HILLCREST PLAZA WAY
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City | MONTROSE
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State | CO
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Zip | 81401-5876
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Country | US
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Telephone | 970-249-9678
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Fax | 970-249-1868
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Authorized Official
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Title or Position | PRESIDENT
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Name | DR. JEFFREY J KREBS
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Credential | D.O.
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Telephone | 970-249-9678
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207Q00000X
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Taxonomy Name | Family Medicine Physician
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License Number | 28091
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License Number State | CO
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