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General NPI Number Information
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NPI Number | 1942553029
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Entity Type | Organization
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Legal Business Name | MICHAEL KREYMER MEDICINE PC
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Dates
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Enumeration Date | 10/26/2012
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Last Update Date | 10/26/2012
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Provider Practice Location Address
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Address Line | 5290 MILITARY RD SUITE 6
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City | LEWISTON
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State | NY
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Zip | 14092-1953
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Country | US
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Telephone | 716-297-2998
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Fax |
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Provider Business Mailing Address
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Address Line | 5290 MILITARY RD SUITE 6
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City | LEWISTON
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State | NY
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Zip | 14092-1953
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Country | US
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Telephone | 716-297-2998
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Fax |
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Authorized Official
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Title or Position | ANESTHESIOLOGIST
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Name | MICHAEL KREYMER
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Credential | MD
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Telephone | 716-297-2998
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207L00000X
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Taxonomy Name | Anesthesiology Physician
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License Number | 255183
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License Number State | NY
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