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General NPI Number Information
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NPI Number | 1184361677
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Entity Type | Individual
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Provider Name | EMILY KRUGER MD
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Gender | Female
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Dates
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Enumeration Date | 05/16/2022
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Last Update Date | 09/29/2024
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Provider Practice Location Address
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Address Line | UW HOSPITALS & CLINICS 600 HIGHLAND AVE
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City | MADISON
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State | WI
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Zip | 53792-8267
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Country | US
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Telephone | 608-263-6400
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Fax |
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Provider Business Mailing Address
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Address Line | 621 S NEW BALLAS RD STE 3019B
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City | SAINT LOUIS
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State | MO
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Zip | 63141-8267
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Country | US
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Telephone | 314-509-5305
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Fax | 314-251-4454
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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 | 2085R0202X
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Taxonomy Name | Diagnostic Radiology Physician
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License Number | 100501851
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License Number State | WI
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Taxonomy #2
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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 |
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Taxonomy #3
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Taxonomy Code | 2085R0202X
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Taxonomy Name | Diagnostic Radiology Physician
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License Number | 84315-20
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License Number State | WI
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