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General NPI Number Information
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NPI Number | 1134290349
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Entity Type | Individual
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Provider Name | KENNETH DAVID KRAUSE M.D.
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Gender | Male
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Dates
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Enumeration Date | 11/10/2006
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Last Update Date | 10/18/2007
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Provider Practice Location Address
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Address Line | 2600 S PARKER RD #4-242
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City | AURORA
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State | CO
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Zip | 80014-1613
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Country | US
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Telephone | 303-750-2082
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Fax | 303-750-6313
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Provider Business Mailing Address
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Address Line | 2600 S PARKER RD #4-242
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City | AURORA
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State | CO
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Zip | 80014-1613
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Country | US
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Telephone | 303-750-2082
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Fax | 303-750-6313
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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 | 2084P0800X
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Taxonomy Name | Psychiatry Physician
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License Number | 20384
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License Number State | CO
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