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General NPI Number Information
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NPI Number | 1609203223
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Entity Type | Individual
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Provider Name | JOHANNA KREMBERG DVM
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Gender | Female
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Dates
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Enumeration Date | 09/27/2013
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Last Update Date | 09/27/2013
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Provider Practice Location Address
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Address Line | 109 N MABBETTSVILLE RD
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City | MILLBROOK
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State | NY
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Zip | 12545-5356
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Country | US
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Telephone | 845-677-5500
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Fax | 845-677-6009
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Provider Business Mailing Address
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Address Line | 15 HUNNS LAKE PT
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City | STANFORDVILLE
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State | NY
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Zip | 12581-5946
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Country | US
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Telephone | 845-475-4602
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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 | 174M00000X
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Taxonomy Name | Veterinarian
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License Number | 012108
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License Number State | NY
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