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General NPI Number Information
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NPI Number | 1225394448
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Entity Type | Individual
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Provider Name | CHARITY KRANZ DO
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Gender | Female
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Dates
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Enumeration Date | 04/02/2012
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Last Update Date | 02/17/2023
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Provider Practice Location Address
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Address Line | 1657 FOUNTAIN LN
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City | WACONIA
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State | MN
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Zip | 55387-9439
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Country | US
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Telephone | 612-709-8279
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Fax |
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Provider Business Mailing Address
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Address Line | 1657 FOUNTAIN LN
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City | WACONIA
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State | MN
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Zip | 55387-9439
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Country | US
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Telephone | 612-709-8279
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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 | 2083P0901X
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Taxonomy Name | Public Health & General Preventive Medicine Physician
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License Number | 04036
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License Number State | KY
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Taxonomy #2
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Taxonomy Code | 2083P0901X
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Taxonomy Name | Public Health & General Preventive Medicine Physician
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License Number | R3664
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License Number State | KY
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Taxonomy #3
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Taxonomy Code | 390200000X
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Taxonomy Name | Student in an Organized Health Care Education/Training Program
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License Number | 0087
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License Number State | SD
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Taxonomy #4
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Taxonomy Code | 390200000X
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Taxonomy Name | Student in an Organized Health Care Education/Training Program
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License Number | R3664
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License Number State | KY
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Taxonomy #5
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Taxonomy Code | 390200000X
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Taxonomy Name | Student in an Organized Health Care Education/Training Program
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License Number | 0233
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License Number State | SD
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Taxonomy #6
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Taxonomy Code | 2083P0901X
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Taxonomy Name | Public Health & General Preventive Medicine Physician
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License Number | 66465
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License Number State | MN
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