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General NPI Number Information
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NPI Number | 1134602634
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Entity Type | Individual
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Provider Name | TROY JONATHAN KRAFT PT
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Gender | Male
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Dates
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Enumeration Date | 09/11/2018
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Last Update Date | 01/14/2022
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Provider Practice Location Address
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Address Line | 3140 W WARD RD STE 206
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City | DUNKIRK
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State | MD
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Zip | 20754-3047
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Country | US
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Telephone | 410-535-3440
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Fax | 301-327-5374
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Provider Business Mailing Address
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Address Line | 110 HOSPITAL RD STE 201
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City | PRINCE FREDERICK
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State | MD
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Zip | 20678-4045
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Country | US
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Telephone | 410-535-1343
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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 | 225100000X
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Taxonomy Name | Physical Therapist
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License Number | 40QA01809700
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License Number State | NJ
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Taxonomy #2
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Taxonomy Code | 225100000X
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Taxonomy Name | Physical Therapist
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License Number | 28003
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License Number State | MD
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