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General NPI Number Information
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NPI Number | 1063659167
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Entity Type | Organization
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Legal Business Name | MICHAEL A CRAVEN DC PA
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Dates
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Enumeration Date | 01/12/2009
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Last Update Date | 01/14/2009
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Provider Practice Location Address
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Address Line | 5420 LAND O LAKES BLVD SUITE 105
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City | LAND O LAKES
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State | FL
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Zip | 34639-3401
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Country | US
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Telephone | 813-996-9800
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Fax | 813-996-3326
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Provider Business Mailing Address
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Address Line | 5420 LAND O LAKES BLVD SUITE 105
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City | LAND O LAKES
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State | FL
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Zip | 34639-3401
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Country | US
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Telephone | 813-996-9800
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Fax | 813-996-3326
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Authorized Official
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Title or Position | PRESIDENT
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Name | DR. MICHAEL A CRAVEN
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Credential | D.C.
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Telephone | 813-996-9800
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261Q00000X
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Taxonomy Name | Clinic/Center
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License Number |
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License Number State |
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