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General NPI Number Information
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NPI Number | 1447616776
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Entity Type | Organization
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Legal Business Name | KENNETH KRAT DDS PA
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Dates
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Enumeration Date | 12/31/2015
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Last Update Date | 12/31/2015
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Provider Practice Location Address
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Address Line | 2901 CLINT MOORE RD SUITE 6
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City | BOCA RATON
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State | FL
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Zip | 33496
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Country | US
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Telephone | 561-997-0061
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Fax | 561-997-5887
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Provider Business Mailing Address
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Address Line | 2901 CLINT MOORE RD SUITE 6
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City | BOCA RATON
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State | FL
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Zip | 33496-2041
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Country | US
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Telephone | 561-997-0061
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Fax | 561-997-5887
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Authorized Official
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Title or Position | PRESIDENT
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Name | DR. KENNETH KRAT
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Credential |
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Telephone | 561-997-0061
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 122300000X
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Taxonomy Name | Dentist
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License Number | DN9254
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License Number State | FL
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