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General NPI Number Information
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NPI Number | 1750549663
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Entity Type | Individual
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Provider Name | RONEN KRAUSZ D.D.S
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Gender | Male
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Dates
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Enumeration Date | 05/28/2008
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Last Update Date | 01/11/2021
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Provider Practice Location Address
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Address Line | 209 HARVARD ST FL 2
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City | BROOKLINE
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State | MA
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Zip | 02446-5071
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Country | US
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Telephone | 617-731-5437
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Fax |
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Provider Business Mailing Address
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Address Line | 209 HARVARD ST FL 2
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City | BROOKLINE
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State | MA
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Zip | 02446-5071
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Country | US
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Telephone | 617-731-5437
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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 | 1223P0221X
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Taxonomy Name | Pediatric Dentistry
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License Number | 57052
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License Number State | CA
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Taxonomy #2
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Taxonomy Code | 1223P0221X
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Taxonomy Name | Pediatric Dentistry
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License Number | DN22004
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License Number State | MA
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