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General NPI Number Information
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NPI Number | 1255439626
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Entity Type | Individual
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Provider Name | ERIC J. KRAUT M.D.
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Gender | Male
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Dates
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Enumeration Date | 09/20/2006
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Last Update Date | 07/17/2023
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Provider Practice Location Address
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Address Line | 21 CROSSROADS DR STE 355
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City | OWINGS MILLS
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State | MD
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Zip | 21117-5494
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Country | US
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Telephone | 443-213-5427
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Fax | 443-548-3827
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Provider Business Mailing Address
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Address Line | 21 CROSSROADS DR STE 355
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City | OWINGS MILLS
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State | MD
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Zip | 21117-5494
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Country | US
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Telephone | 443-213-5427
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Fax | 443-548-3827
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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 | 2086S0102X
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Taxonomy Name | Surgical Critical Care Physician
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License Number | D0071795
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License Number State | MD
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Taxonomy #2
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Taxonomy Code | 208600000X
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Taxonomy Name | Surgery Physician
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License Number | D0071795
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License Number State | MD
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