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General NPI Number Information
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NPI Number | 1710958673
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Entity Type | Individual
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Provider Name | DIANA MARIE KRAFT MD
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Gender | Female
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Dates
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Enumeration Date | 01/30/2006
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Last Update Date | 03/07/2023
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Provider Practice Location Address
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Address Line | 8 HEALTH SERVICES DR SUITE 4
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City | DEKALB
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State | IL
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Zip | 60115-9647
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Country | US
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Telephone | 815-748-8334
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Fax | 815-748-8921
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Provider Business Mailing Address
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Address Line | 331 GREENWOOD ACRES DR
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City | DEKALB
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State | IL
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Zip | 60115
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Country | US
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Telephone | 815-748-5175
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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 | 2084P0800X
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Taxonomy Name | Psychiatry Physician
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License Number |
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License Number State | IL
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