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General NPI Number Information
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NPI Number | 1306844089
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Entity Type | Individual
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Provider Name | ANATOLY I KREMER MD
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Gender | Male
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Dates
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Enumeration Date | 07/07/2005
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Last Update Date | 02/14/2020
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Provider Practice Location Address
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Address Line | 5100 W TILGHMAN ST STE 315
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City | ALLENTOWN
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State | PA
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Zip | 18104-9166
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Country | US
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Telephone | 610-395-4044
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Fax | 610-395-5693
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Provider Business Mailing Address
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Address Line | 1245 LEEDOM RD
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City | HUNTINGDON VALLEY
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State | PA
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Zip | 19006-2709
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Country | US
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Telephone |
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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 | 207L00000X
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Taxonomy Name | Anesthesiology Physician
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License Number | 066717L
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License Number State | PA
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