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General NPI Number Information
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NPI Number | 1558528984
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Entity Type | Organization
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Legal Business Name | ROBERT F. KRALL
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Dates
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Enumeration Date | 05/22/2008
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Last Update Date | 05/23/2008
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Provider Practice Location Address
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Address Line | 61 FRONT ST BOX 570
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City | MILLBROOK
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State | NY
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Zip | 12545-5961
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Country | US
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Telephone | 845-677-5012
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Fax | 845-677-5024
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Provider Business Mailing Address
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Address Line | 61 FRONT ST BOX 570
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City | MILLBROOK
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State | NY
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Zip | 12545-5961
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Country | US
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Telephone | 845-677-5012
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Fax | 845-677-5024
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Authorized Official
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Title or Position | INSURANCE SPECIALIST
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Name | MS. DEBBIE WHEELER
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Credential |
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Telephone | 845-677-5012
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261Q00000X
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Taxonomy Name | Clinic/Center
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License Number |
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License Number State |
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