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General NPI Number Information
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NPI Number | 1194708412
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Entity Type | Individual
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Provider Name | SUSAN FALZONE KRAUS MD
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Gender | Female
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Dates
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Enumeration Date | 11/21/2005
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Last Update Date | 07/17/2023
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Provider Practice Location Address
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Address Line | 2412 3RD ST
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City | HUGHSON
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State | CA
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Zip | 95326-9310
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Country | US
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Telephone | 209-558-7250
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Fax | 209-558-6033
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Provider Business Mailing Address
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Address Line | PO BOX 249
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City | HUGHSON
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State | CA
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Zip | 95326-0249
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Country | US
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Telephone | 209-355-8725
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Fax | 209-558-8723
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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 | 207Q00000X
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Taxonomy Name | Family Medicine Physician
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License Number | A83754
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License Number State | CA
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