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General NPI Number Information
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NPI Number | 1457146359
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Entity Type | Individual
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Provider Name | NICHOLAS ERIC KRAUSE PMHNP
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Gender | Male
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Dates
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Enumeration Date | 04/11/2025
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Last Update Date | 10/30/2025
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Provider Practice Location Address
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Address Line | 28 BAYLEY ST APT 502
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City | PAWTUCKET
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State | RI
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Zip | 02860-2986
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Country | US
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Telephone | 617-701-6245
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Fax | 617-819-2132
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Provider Business Mailing Address
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Address Line | 28 BAYLEY ST APT 502
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City | PAWTUCKET
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State | RI
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Zip | 02860-2986
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Country | US
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Telephone | 617-701-6245
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Fax | 617-819-2132
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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 | 363LP0808X
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Taxonomy Name | Psychiatric/Mental Health Nurse Practitioner
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License Number | RN2302866
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License Number State | MA
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