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General NPI Number Information
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NPI Number | 1205820164
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Entity Type | Individual
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Provider Name | DANIEL E KRUGER PHD
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Gender | Male
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Dates
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Enumeration Date | 09/07/2005
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Last Update Date | 07/08/2007
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Provider Practice Location Address
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Address Line | 1601 W SAINT MARYS RD
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City | TUCSON
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State | AZ
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Zip | 85745-2623
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Country | US
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Telephone | 520-872-4301
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Fax | 520-872-6279
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Provider Business Mailing Address
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Address Line | 5635 E HOLMES ST
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City | TUCSON
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State | AZ
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Zip | 85711-2447
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Country | US
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Telephone | 520-323-0143
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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 | 103TR0400X
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Taxonomy Name | Rehabilitation Psychologist
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License Number | 3667
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License Number State | AZ
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