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NPI 1902299936

NPI 1902299936 : KRULL CLINIC, PC : NORTH PLATTE, NE

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General NPI Number Information
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    NPI Number           |    1902299936
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    Entity Type          |    Organization 
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    Legal Business Name  |    KRULL CLINIC, PC 
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Dates
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    Enumeration Date     |    03/16/2015
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    Last Update Date     |    07/07/2025
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Provider Practice Location Address
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    Address Line         |    1929 WEST A ST 
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    City                 |    NORTH PLATTE
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    State                |    NE
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    Zip                  |    69101-4577
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    Country              |    US
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    Telephone            |    308-221-6850
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    Fax                  |    308-221-6852
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Provider Business Mailing Address
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    Address Line         |    1929 WEST A ST 
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    City                 |    NORTH PLATTE
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    State                |    NE
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    Zip                  |    69101-4577
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    Country              |    US
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    Telephone            |    308-221-6850
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    Fax                  |    308-221-6852
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Authorized Official
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    Title or Position    |    PRESIDENT
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    Name                 |    DR. CHRISTOPHER NEIL KRULL 
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    Credential           |    DPT, PRC
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    Telephone            |    308-221-6850
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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    Taxonomy Code        |    261QP2000X
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    Taxonomy Name        |    Physical Therapy Clinic/Center
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    License Number       |    
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    License Number State |    
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