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General NPI Number Information
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NPI Number | 1619027810
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Entity Type | Organization
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Legal Business Name | DRS KREIN AND MOEN, PC
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Dates
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Enumeration Date | 01/11/2007
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Last Update Date | 07/30/2008
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Provider Practice Location Address
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Address Line | 126 2ND AVE SW
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City | RUGBY
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State | ND
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Zip | 58368-1700
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Country | US
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Telephone | 701-776-6538
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Fax | 701-776-6538
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Provider Business Mailing Address
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Address Line | 126 2ND AVE SW
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City | RUGBY
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State | ND
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Zip | 58368-1700
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Country | US
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Telephone | 701-776-6538
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Fax | 701-776-6538
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Authorized Official
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Title or Position | V PRES. AND SECT
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Name | DR. KYLE D KREIN
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Credential | OD
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Telephone | 701-776-6538
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 152W00000X
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Taxonomy Name | Optometrist
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License Number | 526
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License Number State | OR
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