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General NPI Number Information
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NPI Number | 1184702524
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Entity Type | Organization
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Legal Business Name | ALLAN S KRATZER MD PC
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Dates
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Enumeration Date | 11/02/2006
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Last Update Date | 11/08/2007
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Provider Practice Location Address
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Address Line | 435 LEWIS AVE
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City | MERIDEN
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State | CT
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Zip | 06451-2101
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Country | US
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Telephone | 203-694-8433
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Fax | 203-694-7630
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Provider Business Mailing Address
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Address Line | 435 LEWIS AVE
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City | MERIDEN
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State | CT
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Zip | 06451-2101
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Country | US
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Telephone | 203-694-8433
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Fax | 203-694-7630
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Authorized Official
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Title or Position | PRESIDENT
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Name | DR. ALLAN S KRATZER
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Credential | M.D.
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Telephone | 203-694-8433
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 2085R0001X
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Taxonomy Name | Radiation Oncology Physician
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License Number | 029775
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License Number State | CT
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