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General NPI Number Information
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NPI Number | 1730363631
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Entity Type | Organization
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Legal Business Name | KRALL MEDICAL LLC
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Dates
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Enumeration Date | 12/27/2007
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Last Update Date | 10/10/2011
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Provider Practice Location Address
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Address Line | 1152 GILMORE AVE
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City | WINONA
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State | MN
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Zip | 55987-2404
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Country | US
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Telephone | 507-453-9300
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Fax | 507-453-9612
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Provider Business Mailing Address
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Address Line | 1152 GILMORE AVE
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City | WINONA
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State | MN
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Zip | 55987-2404
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Country | US
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Telephone | 507-453-9300
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Fax | 507-453-9612
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Authorized Official
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Title or Position | OWNER
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Name | MS. LYNDA KRALL
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Credential |
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Telephone | 507-453-9300
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 332B00000X
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Taxonomy Name | Durable Medical Equipment & Medical Supplies
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License Number | 2324445
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License Number State | MN
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