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General NPI Number Information
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NPI Number | 1679620470
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Entity Type | Individual
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Provider Name | MARK M KRAKAUER MD
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Gender | Male
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Dates
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Enumeration Date | 01/04/2007
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Last Update Date | 05/12/2015
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Provider Practice Location Address
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Address Line | 4230 HARDING RD SUITE 400
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City | NASHVILLE
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State | TN
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Zip | 37205-2013
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Country | US
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Telephone | 615-297-2700
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Fax | 615-269-4584
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Provider Business Mailing Address
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Address Line | 104 WOODMONT BLVD SUITE LL50
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City | NASHVILLE
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State | TN
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Zip | 37205-2245
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Country | US
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Telephone | 615-386-2300
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Fax | 615-386-2399
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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 | 207R00000X
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Taxonomy Name | Internal Medicine Physician
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License Number | 42728
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License Number State | TN
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Taxonomy #2
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Taxonomy Code | 208000000X
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Taxonomy Name | Pediatrics Physician
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License Number | 42728
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License Number State | TN
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