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General NPI Number Information
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NPI Number | 1609015627
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Entity Type | Individual
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Provider Name | THOMAS GERALD KRZEMIENIECKI D.O.
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Gender | Male
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Dates
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Enumeration Date | 02/13/2009
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Last Update Date | 02/28/2025
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Provider Practice Location Address
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Address Line | 2 STONE HARBOR BLVD
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City | CAPE MAY COURT HOUSE
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State | NJ
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Zip | 08210-2138
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Country | US
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Telephone | 215-463-2458
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Fax |
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Provider Business Mailing Address
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Address Line | 4201 N BROAD ST
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City | PHILADELPHIA
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State | PA
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Zip | 19140-3019
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Country | US
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Telephone | 215-707-3506
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Fax |
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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 | 207L00000X
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Taxonomy Name | Anesthesiology Physician
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License Number | OT010997
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License Number State | PA
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Taxonomy #2
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Taxonomy Code | 207L00000X
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Taxonomy Name | Anesthesiology Physician
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License Number | 25MB08686800
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License Number State | NJ
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