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General NPI Number Information
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NPI Number | 1770663528
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Entity Type | Individual
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Provider Name | MARK JEROME KREUSCH D.C.
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Gender | Male
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Dates
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Enumeration Date | 10/16/2006
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Last Update Date | 07/08/2007
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Provider Practice Location Address
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Address Line | 5 JEFFERSON ST
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City | ENGLEWOOD
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State | OH
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Zip | 45322-1264
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Country | US
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Telephone | 937-836-3313
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Fax | 937-836-9693
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Provider Business Mailing Address
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Address Line | 3225 BITTERSWEET DR
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City | TROY
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State | OH
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Zip | 45373-9319
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Country | US
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Telephone | 937-524-2437
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Fax |
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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 | 3097
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License Number State | OH
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