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General NPI Number Information
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NPI Number | 1841737384
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Entity Type | Organization
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Legal Business Name | VALERI KRAUS
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Dates
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Enumeration Date | 01/23/2017
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Last Update Date | 01/23/2017
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Provider Practice Location Address
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Address Line | 1929 PRESTON RIDGE DR
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City | CHESTERFIELD
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State | MO
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Zip | 63017-8736
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Country | US
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Telephone | 636-537-1140
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Fax |
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Provider Business Mailing Address
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Address Line | 1929 PRESTON RIDGE DR
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City | CHESTERFIELD
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State | MO
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Zip | 63017-8736
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Country | US
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Telephone |
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Fax |
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Authorized Official
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Title or Position | PHARMACIST
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Name | MRS. VALERI KRAUS
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Credential | RPH
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Telephone | 636-537-1140
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 333600000X
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Taxonomy Name | Pharmacy
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License Number | 041247
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License Number State | MO
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