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General NPI Number Information
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NPI Number | 1285734731
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Entity Type | Individual
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Provider Name | WILLIAM KREUL DDS
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Gender | Male
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Dates
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Enumeration Date | 09/25/2006
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Last Update Date | 01/17/2018
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Provider Practice Location Address
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Address Line | 8109 HARFORD ROAD SUITE D
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City | BALTIMORE
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State | MD
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Zip | 21234
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Country | US
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Telephone | 410-665-0877
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Fax | 410-665-7064
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Provider Business Mailing Address
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Address Line | 2600 JERALD DR
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City | BALTIMORE
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State | MD
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Zip | 21234-5512
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Country | US
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Telephone | 410-668-8646
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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 | 183500000X
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Taxonomy Name | Pharmacist
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License Number | 07526
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License Number State | MD
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Taxonomy #2
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Taxonomy Code | 122300000X
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Taxonomy Name | Dentist
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License Number | 6158
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License Number State | MD
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