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General NPI Number Information
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NPI Number | 1598805749
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Entity Type | Organization
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Legal Business Name | CRAIG W. ENGLUND, MD, PA
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Dates
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Enumeration Date | 02/07/2007
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Last Update Date | 06/20/2008
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Provider Practice Location Address
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Address Line | 801 MEDICAL CT E
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City | INVERNESS
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State | FL
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Zip | 34452-4623
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Country | US
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Telephone | 352-637-4490
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Fax | 352-637-3987
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Provider Business Mailing Address
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Address Line | 770 SE 5TH TER
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City | CRYSTAL RIVER
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State | FL
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Zip | 34429-4852
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Country | US
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Telephone | 352-637-4490
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Fax | 352-637-3987
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Authorized Official
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Title or Position | PRESIDENT
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Name | DR. SERVILLANO E DELA CRUZ, JR.
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Credential | M.D.
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Telephone | 352-795-6674
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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 |
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License Number State |
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