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General NPI Number Information
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NPI Number | 1316065485
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Entity Type | Organization
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Legal Business Name | DR. RICHARD E KRAUS, O.D., INC
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Dates
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Enumeration Date | 03/27/2007
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Last Update Date | 08/22/2020
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Provider Practice Location Address
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Address Line | 1548 N PALM CANYON DR
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City | PALM SPRINGS
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State | CA
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Zip | 92262-4410
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Country | US
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Telephone | 760-320-4441
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Fax | 760-320-5305
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Provider Business Mailing Address
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Address Line | 1548 N PALM CANYON DR
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City | PALM SPRINGS
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State | CA
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Zip | 92262-4410
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Country | US
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Telephone | 760-320-4441
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Fax | 760-320-5305
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Authorized Official
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Title or Position | PRESIDENT
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Name | DR. RICHARD E KRAUS
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Credential | O.D.
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Telephone | 760-320-4441
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 174400000X
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Taxonomy Name | Specialist
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License Number | CA5549TPA
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License Number State | CA
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