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General NPI Number Information
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NPI Number | 1497185318
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Entity Type | Organization
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Legal Business Name | KRAUSE CHIROPRACTIC, INC.
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Dates
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Enumeration Date | 11/13/2013
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Last Update Date | 11/13/2013
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Provider Practice Location Address
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Address Line | 845 WAINEE ST STE 211
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City | LAHAINA
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State | HI
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Zip | 96761-1688
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Country | US
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Telephone | 808-667-1801
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Fax |
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Provider Business Mailing Address
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Address Line | 845 WAINEE ST STE 211
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City | LAHAINA
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State | HI
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Zip | 96761-1688
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Country | US
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Telephone | 808-667-1801
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Fax |
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Authorized Official
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Title or Position | DOCTOR
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Name | DR. BRENDAN KRAUSE
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Credential |
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Telephone | 808-667-1801
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 305S00000X
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Taxonomy Name | Point of Service
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License Number | MAT - 12900
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License Number State | HI
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