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General NPI Number Information
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NPI Number | 1780853515
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Entity Type | Individual
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Provider Name | STEVEN BRIAN KRAVITZ PT, DPT, CST
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Gender | Male
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Dates
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Enumeration Date | 02/26/2008
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Last Update Date | 09/12/2014
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Provider Practice Location Address
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Address Line | 2000 GLEN ECHO RD SUITE 209
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City | NASHVILLE
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State | TN
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Zip | 37215-2857
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Country | US
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Telephone | 917-570-2876
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Fax |
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Provider Business Mailing Address
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Address Line | 4029 WALLACE LN
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City | NASHVILLE
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State | TN
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Zip | 37215-2307
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Country | US
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Telephone | 917-570-2876
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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 | 030402
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License Number State | NY
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