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General NPI Number Information
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NPI Number | 1609827740
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Entity Type | Individual
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Provider Name | MARK A. CRAGER MD
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Gender | Male
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Dates
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Enumeration Date | 05/13/2006
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Last Update Date | 05/15/2025
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Provider Practice Location Address
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Address Line | 555 N GLENN AVE
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City | WASHINGTON COURT HOUSE
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State | OH
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Zip | 43160-2711
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Country | US
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Telephone | 740-981-8212
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Fax | 855-857-7333
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Provider Business Mailing Address
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Address Line | PO BOX 609
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City | LUCASVILLE
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State | OH
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Zip | 45648-0609
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Country | US
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Telephone | 740-981-8212
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Fax | 855-857-7333
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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 | 363A00000X
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Taxonomy Name | Physician Assistant
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License Number | 50-00-1727
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License Number State | OH
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Taxonomy #2
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Taxonomy Code | 390200000X
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Taxonomy Name | Student in an Organized Health Care Education/Training Program
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License Number |
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License Number State |
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Taxonomy #3
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Taxonomy Code | 208D00000X
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Taxonomy Name | General Practice Physician
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License Number | 35.147223
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License Number State | OH
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