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General NPI Number Information
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NPI Number | 1548585417
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Entity Type | Individual
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Provider Name | HAROLD KRAFT M.D.
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Gender | Male
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Dates
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Enumeration Date | 04/02/2010
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Last Update Date | 08/10/2020
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Provider Practice Location Address
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Address Line | 1821 WILSHIRE BLVD STE 300
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City | SANTA MONICA
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State | CA
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Zip | 90403-5679
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Country | US
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Telephone | 213-550-5600
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Fax | 213-325-6425
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Provider Business Mailing Address
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Address Line | 1821 WILSHIRE BLVD STE 300
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City | SANTA MONICA
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State | CA
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Zip | 90403-5679
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Country | US
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Telephone | 213-550-5600
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Fax | 213-325-6425
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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 | 207L00000X
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Taxonomy Name | Anesthesiology Physician
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License Number | D30413
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License Number State | MD
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Taxonomy #2
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Taxonomy Code | 261QP3300X
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Taxonomy Name | Pain Clinic/Center
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License Number | G136863
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License Number State | CA
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