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General NPI Number Information
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NPI Number | 1568647501
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Entity Type | Organization
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Legal Business Name | MICHAEL L. KRUEGER, D.O. INC.
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Dates
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Enumeration Date | 01/09/2008
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Last Update Date | 01/09/2008
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Provider Practice Location Address
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Address Line | 7033 N FRESNO ST STE. 301
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City | FRESNO
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State | CA
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Zip | 93720-2976
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Country | US
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Telephone | 559-438-8181
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Fax | 559-438-8179
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Provider Business Mailing Address
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Address Line | 7033 N FRESNO ST STE. 301
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City | FRESNO
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State | CA
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Zip | 93720-2976
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Country | US
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Telephone | 559-438-8181
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Fax | 559-438-8179
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Authorized Official
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Title or Position | DOCTOR
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Name | DR. MICHAEL L. KRUEGER
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Credential | D.O.
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Telephone | 559-438-8181
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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 | 20A6760
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License Number State | CA
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