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General NPI Number Information
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NPI Number | 1639739162
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Entity Type | Individual
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Provider Name | ANTHONY RICHARD KRUGER OD
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Gender | Male
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Dates
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Enumeration Date | 06/17/2019
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Last Update Date | 06/07/2022
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Provider Practice Location Address
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Address Line | 17450 ST LUKES WAY STE 100
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City | THE WOODLANDS
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State | TX
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Zip | 77384-8045
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Country | US
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Telephone | 281-363-3443
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Fax | 936-271-1351
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Provider Business Mailing Address
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Address Line | 12923 ENCHANTED DR
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City | CYPRESS
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State | TX
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Zip | 77429-2267
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Country | US
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Telephone | 713-562-6116
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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 | 152W00000X
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Taxonomy Name | Optometrist
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License Number | 9735T
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License Number State | TX
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Taxonomy #2
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Taxonomy Code | 152W00000X
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Taxonomy Name | Optometrist
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License Number | 9735TG
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License Number State | TX
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