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General NPI Number Information
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NPI Number | 1821256124
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Entity Type | Organization
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Legal Business Name | ROBERT A KRAUKLIS DPM LLC
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Dates
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Enumeration Date | 05/23/2008
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Last Update Date | 07/10/2008
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Provider Practice Location Address
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Address Line | 2909 N ORANGE AVE SUITE 111
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City | ORLANDO
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State | FL
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Zip | 32804-4639
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Country | US
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Telephone | 407-896-8900
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Fax | 407-896-4896
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Provider Business Mailing Address
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Address Line | 2909 N ORANGE AVE SUITE 111
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City | ORLANDO
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State | FL
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Zip | 32804-4639
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Country | US
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Telephone | 407-896-8900
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Fax | 407-896-4896
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Authorized Official
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Title or Position | OWNER
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Name | ROBERT A KRAUKLIS
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Credential | DPM
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Telephone | 407-896-8900
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 213E00000X
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Taxonomy Name | Podiatrist
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License Number |
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License Number State |
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