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General NPI Number Information
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NPI Number | 1841589280
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Entity Type | Individual
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Provider Name | JOSHUA KRUMENACKER MD, PHD
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Gender | Male
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Dates
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Enumeration Date | 04/06/2011
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Last Update Date | 05/07/2025
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Provider Practice Location Address
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Address Line | 1037 S STATE ROAD 7 STE 211
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City | WELLINGTON
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State | FL
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Zip | 33414-6139
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Country | US
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Telephone | 561-798-3030
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Fax | 561-798-8242
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Provider Business Mailing Address
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Address Line | 425 W COLONIAL DR STE 303
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City | ORLANDO
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State | FL
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Zip | 32804-6863
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Country | US
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Telephone | 833-702-8383
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Fax | 689-304-0303
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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 | 01073491A
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License Number State | IN
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Taxonomy #2
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Taxonomy Code | 207Q00000X
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Taxonomy Name | Family Medicine Physician
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License Number | 89640
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License Number State | SC
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Taxonomy #3
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Taxonomy Code | 207Q00000X
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Taxonomy Name | Family Medicine Physician
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License Number | ME169496
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License Number State | FL
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