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General NPI Number Information
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NPI Number | 1588731533
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Entity Type | Individual
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Provider Name | WILLIAM B CRAFTON MD
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Gender | Male
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Dates
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Enumeration Date | 11/28/2006
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Last Update Date | 08/21/2017
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Provider Practice Location Address
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Address Line | 2123 AUBURN AVE
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City | CINCINNATI
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State | OH
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Zip | 45219-2906
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Country | US
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Telephone | 513-723-9000
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Fax | 513-723-0455
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Provider Business Mailing Address
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Address Line | 237 WILLIAM HOWARD TAFT, PHYS DIV 2ND FL, CBO2-3, ATTN: CREDENTIALING
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City | CINCINNATI
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State | OH
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Zip | 45219
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Country | US
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Telephone | 513-263-8571
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Fax | 513-366-4480
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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 | 208600000X
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Taxonomy Name | Surgery Physician
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License Number | 35055281C
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License Number State | OH
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