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General NPI Number Information
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NPI Number | 1780621292
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Entity Type | Individual
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Provider Name | PAUL CHRENKA MD
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Gender | Male
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Dates
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Enumeration Date | 06/01/2006
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Last Update Date | 06/26/2025
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Provider Practice Location Address
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Address Line | 8435 HOLLY RD
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City | GRAND BLANC
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State | MI
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Zip | 48439-1812
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Country | US
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Telephone | 810-232-5627
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Fax | 810-232-8024
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Provider Business Mailing Address
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Address Line | 3495 S CENTER RD
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City | BURTON
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State | MI
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Zip | 48519-1455
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Country | US
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Telephone |
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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 | 208000000X
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Taxonomy Name | Pediatrics Physician
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License Number | 4301082272
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License Number State | MI
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