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General NPI Number Information
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NPI Number | 1740435692
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Entity Type | Individual
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Provider Name | TIMOTHY JOHN KRONLAGE D. C.
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Gender | Male
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Dates
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Enumeration Date | 11/19/2008
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Last Update Date | 01/17/2019
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Provider Practice Location Address
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Address Line | 2055 HOLLIDAY DR 420
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City | DUBUQUE
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State | IA
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Zip | 52002-0415
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Country | US
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Telephone | 563-590-6620
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Fax | 563-582-0782
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Provider Business Mailing Address
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Address Line | 2055 HOLLIDAY DR 420
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City | DUBUQUE
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State | IA
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Zip | 52002-0415
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Country | US
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Telephone | 563-590-6620
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Fax | 563-582-0782
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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 | 111N00000X
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Taxonomy Name | Chiropractor
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License Number | 007270
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License Number State | IA
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