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General NPI Number Information
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NPI Number | 1467534305
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Entity Type | Individual
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Provider Name | DAVID MICHAEL KREUSCH D.C.
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Gender | Male
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Dates
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Enumeration Date | 10/19/2006
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Last Update Date | 04/24/2017
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Provider Practice Location Address
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Address Line | 5 JEFFERSON STREET
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City | ENGLEWOOD
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State | OH
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Zip | 45322
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Country | US
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Telephone | 937-836-3313
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Fax | 937-836-9693
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Provider Business Mailing Address
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Address Line | 5 JEFFERSON STREET
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City | ENGLEWOOD
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State | OH
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Zip | 45322
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Country | US
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Telephone | 937-836-3313
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Fax | 937-836-9693
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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 | 111N00000X
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Taxonomy Name | Chiropractor
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License Number | 2312
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License Number State | OH
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