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General NPI Number Information
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NPI Number | 1245269349
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Entity Type | Organization
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Legal Business Name | EDMUND KRASINSKI, JR., D.O., P.L.L.C.
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Dates
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Enumeration Date | 07/01/2006
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Last Update Date | 12/10/2014
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Provider Practice Location Address
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Address Line | 6879 N ORACLE RD SUITE 133
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City | TUCSON
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State | AZ
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Zip | 85704-4284
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Country | US
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Telephone | 520-531-0600
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Fax | 520-531-1190
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Provider Business Mailing Address
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Address Line | PO BOX 36234
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City | TUCSON
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State | AZ
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Zip | 85740-6234
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Country | US
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Telephone | 520-531-0600
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Fax | 520-531-1190
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Authorized Official
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Title or Position | PRESIDENT
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Name | DR. EDMUND KRASINSKI JR.
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Credential | D.O.
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Telephone | 520-531-0600
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207RG0100X
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Taxonomy Name | Gastroenterology Physician
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License Number |
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License Number State |
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