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General NPI Number Information
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NPI Number | 1538276472
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Entity Type | Individual
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Provider Name | THOMAS R. KRUPITZER M.D.
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Gender | Male
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Dates
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Enumeration Date | 08/24/2006
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Last Update Date | 10/30/2012
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Provider Practice Location Address
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Address Line | 970 E WASHINGTON ST STE. 1C
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City | MEDINA
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State | OH
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Zip | 44256-3332
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Country | US
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Telephone | 330-721-5700
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Fax | 330-721-5798
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Provider Business Mailing Address
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Address Line | 970 E WASHINGTON ST STE. 1C
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City | MEDINA
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State | OH
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Zip | 44256-3332
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Country | US
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Telephone | 330-721-5700
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Fax | 330-721-5798
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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 | 207Q00000X
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Taxonomy Name | Family Medicine Physician
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License Number | 231575
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License Number State | NY
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Taxonomy #2
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Taxonomy Code | 207Q00000X
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Taxonomy Name | Family Medicine Physician
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License Number | D0066659
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License Number State | MD
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Taxonomy #3
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Taxonomy Code | 207Q00000X
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Taxonomy Name | Family Medicine Physician
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License Number | 90339
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License Number State | OH
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Taxonomy #4
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Taxonomy Code | 207Q00000X
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Taxonomy Name | Family Medicine Physician
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License Number | 0101241476
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License Number State | VA
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