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General NPI Number Information
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NPI Number | 1679082812
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Entity Type | Individual
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Provider Name | THOMAS KRAUSE DPT
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Gender | Male
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Dates
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Enumeration Date | 09/20/2017
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Last Update Date | 09/20/2017
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Provider Practice Location Address
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Address Line | WESTERN MISSOURI MEDICAL CENTER 403 BURTHARTH RD
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City | WARRENSBURG
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State | MO
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Zip | 64093
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Country | US
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Telephone | 660-747-2500
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Fax |
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Provider Business Mailing Address
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Address Line | 1984 FOREST PARK DR
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City | JACKSON
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State | MI
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Zip | 49201-8306
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Country | US
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Telephone | 231-350-3843
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Fax |
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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 | 225100000X
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Taxonomy Name | Physical Therapist
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License Number | 5501018425
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License Number State | MI
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