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General NPI Number Information
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NPI Number | 1184980476
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Entity Type | Individual
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Provider Name | REGINA KURRASCH M.D.
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Gender | Female
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Dates
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Enumeration Date | 04/11/2012
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Last Update Date | 04/11/2012
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Provider Practice Location Address
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Address Line | 2301 RENAISSANCE BLVD
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City | KING OF PRUSSIA
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State | PA
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Zip | 19406-2772
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Country | US
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Telephone | 610-787-3214
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Fax |
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Provider Business Mailing Address
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Address Line | 3000 W VALLEY FORGE CIR APT 753
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City | KING OF PRUSSIA
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State | PA
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Zip | 19406-1110
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Country | US
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Telephone |
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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 | 207RR0500X
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Taxonomy Name | Rheumatology Physician
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License Number | MD064918L
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License Number State | PA
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Taxonomy #2
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Taxonomy Code | 207RR0500X
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Taxonomy Name | Rheumatology Physician
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License Number | D0039015
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License Number State | MD
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Taxonomy #3
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Taxonomy Code | 207RR0500X
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Taxonomy Name | Rheumatology Physician
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License Number | G47328
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License Number State | CA
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