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General NPI Number Information
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NPI Number | 1336105774
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Entity Type | Individual
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Provider Name | ANDREW PATRICK KRETSCHMER M.D.
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Gender | Male
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Dates
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Enumeration Date | 04/25/2006
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Last Update Date | 02/27/2008
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Provider Practice Location Address
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Address Line | 827 MAGNOLIA BLVD SUITE #6
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City | MAGNOLIA
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State | TX
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Zip | 77355-8602
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Country | US
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Telephone | 281-356-2900
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Fax | 281-356-5830
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Provider Business Mailing Address
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Address Line | 74 SHELL PORT SQ
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City | THE WOODLANDS
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State | TX
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Zip | 77380-2884
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Country | US
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Telephone | 281-794-4146
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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 | 207P00000X
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Taxonomy Name | Emergency Medicine Physician
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License Number | G8223
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License Number State | TX
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