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General NPI Number Information
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NPI Number | 1568532489
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Entity Type | Individual
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Provider Name | JOHN H KRAFT D.C
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Gender | Male
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Dates
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Enumeration Date | 11/08/2006
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Last Update Date | 07/08/2007
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Provider Practice Location Address
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Address Line | 75 5TH AVE
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City | BAY SHORE
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State | NY
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Zip | 11706-7306
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Country | US
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Telephone | 631-256-9961
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Fax | 631-256-9961
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Provider Business Mailing Address
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Address Line | 8 CREST RD
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City | HUNTINGTON BAY
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State | NY
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Zip | 11743-1508
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Country | US
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Telephone | 516-458-7141
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Fax | 631-665-3416
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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 | 111N00000X
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Taxonomy Name | Chiropractor
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License Number | XO10614
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License Number State | NY
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