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General NPI Number Information
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NPI Number | 1083241905
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Entity Type | Individual
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Provider Name | KERRI KRAFT
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Gender | Female
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Dates
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Enumeration Date | 03/23/2020
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Last Update Date | 05/27/2025
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Provider Practice Location Address
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Address Line | 2701 S BRISTOL ST
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City | SANTA ANA
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State | CA
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Zip | 92704-6201
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Country | US
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Telephone | 714-754-5454
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Fax |
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Provider Business Mailing Address
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Address Line | 890 W STETSON AVE STE B
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City | HEMET
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State | CA
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Zip | 92543-7311
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Country | US
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Telephone | 714-953-3652
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Fax |
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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 | 207P00000X
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Taxonomy Name | Emergency Medicine Physician
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License Number | A184163
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License Number State | CA
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