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General NPI Number Information
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NPI Number | 1588817936
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Entity Type | Organization
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Legal Business Name | CAROL L. KRAUSE, MD PC
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Dates
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Enumeration Date | 10/29/2008
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Last Update Date | 11/12/2008
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Provider Practice Location Address
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Address Line | 705 E MAIN AVE
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City | BISMARCK
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State | ND
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Zip | 58501-4525
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Country | US
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Telephone | 701-255-2453
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Fax | 701-255-2339
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Provider Business Mailing Address
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Address Line | PO BOX 2213
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City | BISMARCK
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State | ND
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Zip | 58502-2213
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Country | US
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Telephone | 701-255-2453
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Fax | 701-255-2339
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Authorized Official
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Title or Position | DOCTOR
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Name | DR. CAROL L KRAUSE
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Credential | MD
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Telephone | 701-255-2453
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 208100000X
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Taxonomy Name | Physical Medicine & Rehabilitation Physician
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License Number |
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License Number State |
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