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General NPI Number Information
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NPI Number | 1700042892
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Entity Type | Organization
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Legal Business Name | DENNY E KROUT DO INC
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Dates
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Enumeration Date | 07/29/2008
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Last Update Date | 07/29/2008
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Provider Practice Location Address
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Address Line | 8523 E 11TH ST STE A2
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City | TULSA
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State | OK
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Zip | 74112-7947
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Country | US
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Telephone | 918-836-2204
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Fax | 918-836-2206
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Provider Business Mailing Address
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Address Line | 8523 E 11TH ST STE A2
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City | TULSA
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State | OK
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Zip | 74112-7947
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Country | US
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Telephone | 918-836-2204
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Fax | 918-836-2206
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Authorized Official
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Title or Position | SURGEON / PRESIDENT
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Name | DR. DENNY EUGENE KROUT
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Credential | D.O.
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Telephone | 918-836-2204
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207X00000X
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Taxonomy Name | Orthopaedic Surgery Physician
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License Number | 1608
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License Number State | OK
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