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NPI 1619983772

NPI 1619983772 : VERNON H KRATZ M.D. : SELLERSVILLE, PA

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General NPI Number Information
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    NPI Number           |    1619983772
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    Entity Type          |    Individual 
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    Provider Name        |    VERNON H KRATZ M.D.
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    Gender               |    Male 
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Dates
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    Enumeration Date     |    07/31/2006
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    Last Update Date     |    11/05/2008
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Provider Practice Location Address
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    Address Line         |    807 LAWN AVE 
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    City                 |    SELLERSVILLE
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    State                |    PA
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    Zip                  |    18960-1549
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    Country              |    US
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    Telephone            |    215-257-6551
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    Fax                  |    215-257-9347
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Provider Business Mailing Address
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    Address Line         |    807 LAWN AVE 
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    City                 |    SELLERSVILLE
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    State                |    PA
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    Zip                  |    18960-1549
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    Country              |    US
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    Telephone            |    215-257-6551
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    Fax                  |    215-257-9347
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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        |    2084P0800X
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    Taxonomy Name        |    Psychiatry Physician
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    License Number       |    MD007719E
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    License Number State |    PA
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