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General NPI Number Information
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NPI Number | 1659560704
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Entity Type | Organization
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Legal Business Name | JOHN KREHLIK, MD, INC
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Dates
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Enumeration Date | 10/15/2007
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Last Update Date | 03/25/2010
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Provider Practice Location Address
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Address Line | 9309 GLACIER HWY B301
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City | JUNEAU
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State | AK
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Zip | 99801-9306
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Country | US
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Telephone | 907-789-6766
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Fax | 907-789-6703
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Provider Business Mailing Address
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Address Line | 9309 GLACIER HWY B301
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City | JUNEAU
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State | AK
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Zip | 99801-9306
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Country | US
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Telephone | 907-789-6766
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Fax | 907-789-6703
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Authorized Official
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Title or Position | M.D./OWNER
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Name | DR. JOHN KREHLIK
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Credential | M.D.
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Telephone | 907-789-6766
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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 | 3059
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License Number State | AK
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