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General NPI Number Information
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NPI Number | 1508115130
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Entity Type | Organization
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Legal Business Name | DONALD E KRING JR DO PC
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Dates
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Enumeration Date | 08/29/2012
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Last Update Date | 08/29/2012
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Provider Practice Location Address
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Address Line | 446 JENKINS RANCH RD
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City | DURANGO
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State | CO
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Zip | 81301-6552
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Country | US
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Telephone | 970-375-1550
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Fax | 970-259-6555
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Provider Business Mailing Address
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Address Line | PO BOX 3064
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City | DURANGO
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State | CO
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Zip | 81302-3064
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Country | US
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Telephone | 970-375-1550
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Fax | 970-259-6555
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Authorized Official
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Title or Position | BILLING/CREDENTIALING/CONTRACTING
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Name | MS. DEBBIE A KURTELA
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Credential |
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Telephone | 970-375-1550
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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 | 50947
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License Number State | CO
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