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General NPI Number Information
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NPI Number | 1558556068
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Entity Type | Organization
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Legal Business Name | LYNDA KREITZER DPM LLC
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Dates
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Enumeration Date | 09/07/2007
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Last Update Date | 10/19/2010
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Provider Practice Location Address
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Address Line | 316 S MAIN ST
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City | NORTH SYRACUSE
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State | NY
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Zip | 13212-3124
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Country | US
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Telephone | 315-452-1314
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Fax |
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Provider Business Mailing Address
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Address Line | 316 S MAIN ST
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City | NORTH SYRACUSE
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State | NY
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Zip | 13212-3124
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Country | US
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Telephone | 315-452-1314
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Fax |
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Authorized Official
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Title or Position | OWNER/DOCTOR
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Name | LYNDA KREITZER
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Credential | DPM
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Telephone | 315-452-1314
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 213ES0131X
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Taxonomy Name | Foot Surgery Podiatrist
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License Number | N003033
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License Number State | NY
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