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General NPI Number Information
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NPI Number | 1275748303
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Entity Type | Individual
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Provider Name | ANDREW CARL KRUEGER M.D.
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Gender | Male
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Dates
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Enumeration Date | 05/11/2007
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Last Update Date | 07/08/2007
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Provider Practice Location Address
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Address Line | 4900 KOGER BLVD SUITE 300
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City | GREENSBORO
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State | NC
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Zip | 27407-2736
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Country | US
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Telephone | 336-217-0737
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Fax |
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Provider Business Mailing Address
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Address Line | 3942 PALLAS WAY APT. 2F
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City | HIGH POINT
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State | NC
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Zip | 27265-3644
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Country | US
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Telephone | 339-217-0737
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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 | 207R00000X
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Taxonomy Name | Internal Medicine Physician
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License Number | 28656
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License Number State | KY
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