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General NPI Number Information
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NPI Number | 1851652531
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Entity Type | Organization
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Legal Business Name | ARNON KRONGRAD, M.D., P.A.
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Dates
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Enumeration Date | 05/30/2012
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Last Update Date | 05/30/2012
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Provider Practice Location Address
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Address Line | 20900 NE 30TH AVE STE 207
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City | AVENTURA
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State | FL
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Zip | 33180-2100
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Country | US
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Telephone | 305-936-0474
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Fax | 305-936-0498
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Provider Business Mailing Address
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Address Line | 20900 NE 30TH AVE STE 207
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City | AVENTURA
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State | FL
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Zip | 33180-2100
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Country | US
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Telephone | 305-936-0474
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Fax | 305-936-0498
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Authorized Official
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Title or Position | OWNER
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Name | DR. ARNON KRONGRAD
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Credential | MD
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Telephone | 305-936-0474
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 208800000X
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Taxonomy Name | Urology Physician
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License Number | ME0062761
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License Number State | FL
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