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General NPI Number Information
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NPI Number | 1396748950
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Entity Type | Individual
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Provider Name | DOUGLAS KRESS MD
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Gender | Male
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Dates
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Enumeration Date | 05/27/2005
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Last Update Date | 09/11/2025
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Provider Practice Location Address
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Address Line | 11279 PERRY HWY STE 108
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City | WEXFORD
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State | PA
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Zip | 15090-9303
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Country | US
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Telephone | 724-933-9190
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Fax | 724-933-9194
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Provider Business Mailing Address
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Address Line | 11279 PERRY HWY STE 450
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City | WEXFORD
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State | PA
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Zip | 15090-9303
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Country | US
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Telephone | 724-933-1100
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Fax | 724-933-1160
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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 | 207NP0225X
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Taxonomy Name | Pediatric Dermatology Physician
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License Number | MD057630L
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License Number State | PA
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Taxonomy #2
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Taxonomy Code | 207N00000X
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Taxonomy Name | Dermatology Physician
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License Number | MD057630L
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License Number State | PA
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