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General NPI Number Information
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NPI Number | 1386530541
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Entity Type | Individual
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Provider Name | AUSTIN JAMES KRAUZA
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Gender | Male
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Dates
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Enumeration Date | 06/16/2025
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Last Update Date | 06/16/2025
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Provider Practice Location Address
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Address Line | 2310 CRAVEN ST BLDG 3230
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City | SAN DIEGO
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State | CA
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Zip | 92136-5596
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Country | US
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Telephone | 619-556-9151
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Fax |
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Provider Business Mailing Address
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Address Line | 412 SW CRABAPPLE CV
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City | PORT ST LUCIE
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State | FL
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Zip | 34986-2327
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Country | US
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Telephone | 772-940-9093
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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 | 1223G0001X
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Taxonomy Name | General Practice Dentistry
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License Number | DN30278
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License Number State | FL
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