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General NPI Number Information
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NPI Number | 1366766792
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Entity Type | Organization
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Legal Business Name | GIL KRYGER MD
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Dates
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Enumeration Date | 03/14/2010
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Last Update Date | 03/14/2010
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Provider Practice Location Address
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Address Line | 425 HAALAND DR SUITE 102
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City | THOUSAND OAKS
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State | CA
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Zip | 91361-5229
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Country | US
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Telephone | 805-777-3877
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Fax | 805-777-4822
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Provider Business Mailing Address
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Address Line | 425 HAALAND DR SUITE 102
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City | THOUSAND OAKS
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State | CA
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Zip | 91361-5229
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Country | US
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Telephone | 805-777-3877
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Fax | 805-777-4822
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Authorized Official
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Title or Position | PRESIDENT
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Name | GIL KRYGER
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Credential | MD
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Telephone | 805-777-3877
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 208200000X
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Taxonomy Name | Plastic Surgery Physician
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License Number | A80982
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License Number State | CA
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