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General NPI Number Information
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NPI Number | 1205900347
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Entity Type | Organization
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Legal Business Name | JANE D. KRAFT, MD, PLLC
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Dates
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Enumeration Date | 11/20/2006
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Last Update Date | 07/27/2014
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Provider Practice Location Address
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Address Line | 21 E MAIN ST
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City | SPRINGVILLE
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State | NY
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Zip | 14141-1229
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Country | US
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Telephone | 716-592-8931
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Fax | 716-592-2152
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Provider Business Mailing Address
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Address Line | 21 E MAIN ST
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City | SPRINGVILLE
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State | NY
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Zip | 14141-1229
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Country | US
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Telephone | 716-592-8931
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Fax | 716-592-2152
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Authorized Official
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Title or Position | PRESIDENT
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Name | JANE D. KRAFT
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Credential | M.D.
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Telephone | 716-592-8931
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207V00000X
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Taxonomy Name | Obstetrics & Gynecology Physician
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License Number | 187358
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License Number State | NY
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