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General NPI Number Information
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NPI Number | 1326122789
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Entity Type | Individual
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Provider Name | CURTIS J KROH PAC
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Gender | Male
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Dates
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Enumeration Date | 10/24/2006
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Last Update Date | 07/08/2007
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Provider Practice Location Address
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Address Line | 416 KUNDERT ST
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City | TURTLE LAKE
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State | ND
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Zip | 58575-4205
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Country | US
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Telephone | 701-448-9225
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Fax |
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Provider Business Mailing Address
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Address Line | PO BOX 535
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City | TURTLE LAKE
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State | ND
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Zip | 58575
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Country | US
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Telephone | 701-448-9225
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Fax | 701-448-9224
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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 | 363A00000X
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Taxonomy Name | Physician Assistant
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License Number | PAC0266
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License Number State | ND
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