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General NPI Number Information
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NPI Number | 1881916492
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Entity Type | Individual
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Provider Name | MICHAEL DUANE KROHN PHARM.D
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Gender | Male
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Dates
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Enumeration Date | 02/23/2010
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Last Update Date | 02/23/2010
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Provider Practice Location Address
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Address Line | 732 SOUTH RACETRACK ROAD
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City | HENDERSON
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State | NV
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Zip | 89015-8539
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Country | US
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Telephone | 702-565-7446
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Fax | 702-564-4041
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Provider Business Mailing Address
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Address Line | 732 S RACETRACK RD
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City | HENDERSON
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State | NV
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Zip | 89015-8539
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Country | US
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Telephone | 702-565-7446
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Fax | 702-564-4041
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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 | 183500000X
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Taxonomy Name | Pharmacist
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License Number | 14967
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License Number State | NV
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