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General NPI Number Information
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NPI Number | 1700198520
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Entity Type | Individual
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Provider Name | EMILY B KRAJEC D.O.
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Gender | Female
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Dates
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Enumeration Date | 07/09/2010
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Last Update Date | 08/06/2020
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Provider Practice Location Address
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Address Line | 685 VAIL ST
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City | PRINCETON
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State | IN
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Zip | 47670-9510
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Country | US
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Telephone | 812-386-6650
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Fax | 812-386-6698
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Provider Business Mailing Address
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Address Line | 800 E LOCUST ST
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City | OLNEY
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State | IL
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Zip | 62450-2553
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Country | US
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Telephone | 618-395-7340
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Fax | 618-392-3228
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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 | 207Q00000X
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Taxonomy Name | Family Medicine Physician
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License Number | 02004141A
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License Number State | IN
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