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NPI 1417003286

NPI 1417003286 : DONALD W KRESS MD, FACS : FREDERICK, MD

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General NPI Number Information
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    NPI Number           |    1417003286
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    Entity Type          |    Individual 
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    Provider Name        |    DONALD W KRESS MD, FACS
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    Gender               |    Male 
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Dates
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    Enumeration Date     |    01/26/2007
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    Last Update Date     |    07/08/2007
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Provider Practice Location Address
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    Address Line         |    1560 OPOSSUMTOWN PIKE SUITE A26
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    City                 |    FREDERICK
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    State                |    MD
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    Zip                  |    21702-4748
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    Country              |    US
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    Telephone            |    301-698-2400
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    Fax                  |    301-698-2460
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Provider Business Mailing Address
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    Address Line         |    5388 STONE RD 
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    City                 |    FREDERICK
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    State                |    MD
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    Zip                  |    21703-6923
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    Country              |    US
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    Telephone            |    301-698-2400
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    Fax                  |    301-698-2460
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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        |    174400000X
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    Taxonomy Name        |    Specialist
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    License Number       |    D0037204
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    License Number State |    MD
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