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General NPI Number Information
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NPI Number | 1346519535
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Entity Type | Individual
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Provider Name | MR. CORY J KREBS
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Gender | Male
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Dates
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Enumeration Date | 12/19/2011
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Last Update Date | 12/19/2011
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Provider Practice Location Address
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Address Line | 100 HIGHTOWER BLVD SUITE 100
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City | PITTSBURGH
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State | PA
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Zip | 15205-1134
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Country | US
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Telephone | 412-788-0438
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Fax | 412-787-5089
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Provider Business Mailing Address
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Address Line | 338 STEEPLECHASE DR
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City | CRANBERRY TOWNSHIP
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State | PA
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Zip | 16066-2244
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Country | US
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Telephone | 724-432-3199
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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 | S12221
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License Number State | AZ
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Taxonomy #2
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Taxonomy Code | 183500000X
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Taxonomy Name | Pharmacist
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License Number | RP441196
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License Number State | PA
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Taxonomy #3
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Taxonomy Code | 183500000X
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Taxonomy Name | Pharmacist
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License Number | 7435
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License Number State | WV
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