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General NPI Number Information
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NPI Number | 1457536948
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Entity Type | Organization
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Legal Business Name | IRA KRAUSE
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Dates
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Enumeration Date | 01/03/2008
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Last Update Date | 12/11/2009
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Provider Practice Location Address
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Address Line | 8811 FM 1960 BYPASS RD W 300
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City | HUMBLE
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State | TX
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Zip | 77338-4023
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Country | US
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Telephone | 281-548-7713
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Fax | 281-548-1414
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Provider Business Mailing Address
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Address Line | 8811 FM 1960 BYPASS RD W 300
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City | HUMBLE
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State | TX
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Zip | 77338-4023
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Country | US
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Telephone | 281-548-7713
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Fax | 281-548-1414
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Authorized Official
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Title or Position | DOCTOR
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Name | IRA KRAUSE
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Credential | M.D
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Telephone | 281-548-7713
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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 | H8184
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License Number State | TX
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