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General NPI Number Information
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NPI Number | 1619046968
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Entity Type | Individual
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Provider Name | JEFFREY A KREMPA M.D.
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Gender | Male
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Dates
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Enumeration Date | 11/08/2006
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Last Update Date | 02/06/2014
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Provider Practice Location Address
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Address Line | 505 FOOTE AVE
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City | JAMESTOWN
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State | NY
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Zip | 14701-8204
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Country | US
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Telephone | 716-483-2285
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Fax | 716-483-6602
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Provider Business Mailing Address
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Address Line | 3683 CRESTVIEW RD
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City | BEMUS POINT
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State | NY
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Zip | 14712-9524
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Country | US
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Telephone | 716-386-7244
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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 | 207R00000X
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Taxonomy Name | Internal Medicine Physician
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License Number | 179722
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License Number State | NY
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