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General NPI Number Information
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NPI Number | 1174759021
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Entity Type | Individual
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Provider Name | MICHELLE LYNN KRENEK D.C.
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Gender | Female
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Dates
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Enumeration Date | 06/05/2009
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Last Update Date | 08/27/2010
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Provider Practice Location Address
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Address Line | 21518 BLANCO RD SUITE 105
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City | SAN ANTONIO
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State | TX
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Zip | 78260-3381
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Country | US
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Telephone | 254-541-6158
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Fax | 210-579-2382
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Provider Business Mailing Address
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Address Line | 21518 BLANCO RD SUITE 105
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City | SAN ANTONIO
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State | TX
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Zip | 78260-3381
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Country | US
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Telephone | 254-541-6158
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Fax | 210-579-2382
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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 | 11170
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License Number State | TX
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