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General NPI Number Information
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NPI Number | 1407074289
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Entity Type | Organization
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Legal Business Name | LINDA J. KREBS, DDS, PHD, PC
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Dates
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Enumeration Date | 04/24/2007
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Last Update Date | 08/22/2020
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Provider Practice Location Address
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Address Line | 19 FLETCHER ST
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City | CHELMSFORD
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State | MA
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Zip | 01824-2746
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Country | US
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Telephone | 978-256-8531
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Fax |
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Provider Business Mailing Address
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Address Line | 19 FLETCHER ST
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City | CHELMSFORD
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State | MA
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Zip | 01824-2746
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Country | US
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Telephone | 978-256-8531
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Fax |
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Authorized Official
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Title or Position | OWNER
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Name | DR. LINDA J KREBS
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Credential | DDS, PHD
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Telephone | 978-256-8531
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 1223X0400X
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Taxonomy Name | Orthodontics and Dentofacial Orthopedics Dentistry
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License Number | 20757
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License Number State | MA
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