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General NPI Number Information
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NPI Number | 1215514211
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Entity Type | Individual
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Provider Name | MICHAEL ANTHONY KRUFKA JR. DC
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Gender | Male
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Dates
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Enumeration Date | 03/25/2021
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Last Update Date | 03/25/2021
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Provider Practice Location Address
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Address Line | 32701 CALLE PERFECTO
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City | SAN JUAN CAPISTRANO
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State | CA
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Zip | 92675-4779
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Country | US
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Telephone | 949-481-1499
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Fax |
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Provider Business Mailing Address
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Address Line | 38 SUNNYDALE LN
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City | RANCHO SANTA MARGARITA
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State | CA
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Zip | 92688-5569
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Country | US
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Telephone | 949-910-8053
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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 | 111N00000X
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Taxonomy Name | Chiropractor
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License Number | DC36059
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License Number State | CA
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