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General NPI Number Information
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NPI Number | 1073504221
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Entity Type | Individual
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Provider Name | ERIC MARSHALL KRAUS M.D, M.S, F.A.C.S.
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Gender | Male
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Dates
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Enumeration Date | 11/04/2005
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Last Update Date | 11/20/2021
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Provider Practice Location Address
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Address Line | WAKE FOREST BAPTIST MEDICAL CENTER MEDICAL CENTER BLVD
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City | WINSTON SALEM
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State | NC
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Zip | 27157-1000
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Country | US
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Telephone | 336-716-4161
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Fax | 336-716-9440
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Provider Business Mailing Address
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Address Line | WAKE FOREST BAPTIST MEDICAL CENTER MEDICAL CENTER BLVD
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City | WINSTON SALEM
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State | NC
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Zip | 27157-1000
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Country | US
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Telephone | 336-716-4161
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Fax | 336-716-9440
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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 | 207YX0901X
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Taxonomy Name | Otology & Neurotology Physician
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License Number | -26946
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License Number State | NC
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Taxonomy #2
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Taxonomy Code | 174400000X
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Taxonomy Name | Specialist
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License Number | 26946
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License Number State | NC
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