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General NPI Number Information
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NPI Number | 1477784999
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Entity Type | Organization
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Legal Business Name | CYNTHIA L. KRAUSE, M.D., P.C.
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Dates
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Enumeration Date | 07/31/2009
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Last Update Date | 05/06/2010
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Provider Practice Location Address
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Address Line | 1185 PARK AVE SUITE 1L
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City | NEW YORK
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State | NY
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Zip | 10128-1308
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Country | US
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Telephone | 212-369-0602
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Fax |
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Provider Business Mailing Address
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Address Line | 1185 PARK AVE SUITE 1L
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City | NEW YORK
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State | NY
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Zip | 10128-1308
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Country | US
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Telephone | 212-369-0602
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Fax |
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Authorized Official
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Title or Position | PRESIDENT
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Name | CYNTHIA L. KRAUSE
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Credential | M.D.
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Telephone | 212-369-0602
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207VG0400X
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Taxonomy Name | Gynecology Physician
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License Number | 153297
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License Number State | NY
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