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General NPI Number Information
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NPI Number | 1083033708
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Entity Type | Organization
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Legal Business Name | KRAUS BEHAVIORAL HEALTH LLC
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Dates
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Enumeration Date | 04/09/2014
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Last Update Date | 07/02/2014
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Provider Practice Location Address
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Address Line | 114 S WASHINGTON ST
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City | BALTIMORE
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State | MD
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Zip | 21231-1937
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Country | US
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Telephone | 443-421-0204
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Fax | 443-267-0192
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Provider Business Mailing Address
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Address Line | 114 S WASHINGTON ST
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City | BALTIMORE
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State | MD
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Zip | 21231-1937
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Country | US
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Telephone | 443-421-0204
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Fax | 443-267-0192
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Authorized Official
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Title or Position | OWNER
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Name | SUSAN L KRAUS
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Credential | CRNP
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Telephone | 443-421-0204
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 363LP0808X
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Taxonomy Name | Psychiatric/Mental Health Nurse Practitioner
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License Number | R080023
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License Number State | MD
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