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General NPI Number Information
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NPI Number | 1851322176
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Entity Type | Individual
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Provider Name | RACHEL ASHA KRAUS M.S., R.N., P.N.P.
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Gender | Female
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Dates
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Enumeration Date | 07/05/2006
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Last Update Date | 07/05/2023
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Provider Practice Location Address
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Address Line | 82 HOLLAND ST ANTHONY JORDAN HEALTH CENTER
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City | ROCHESTER
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State | NY
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Zip | 14605-2131
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Country | US
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Telephone | 585-423-5800
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Fax | 585-423-5862
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Provider Business Mailing Address
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Address Line | 82 HOLLAND ST ANTHONY JORDAN HEALTH CENTER
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City | ROCHESTER
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State | NY
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Zip | 14605-2131
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Country | US
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Telephone | 585-423-5800
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Fax | 585-423-5862
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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 | 163W00000X
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Taxonomy Name | Registered Nurse
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License Number | 521820-1
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License Number State | NY
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Taxonomy #2
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Taxonomy Code | 363LP0200X
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Taxonomy Name | Pediatric Nurse Practitioner
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License Number | 381706
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License Number State | NY
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Taxonomy #3
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Taxonomy Code | 363LP0200X
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Taxonomy Name | Pediatric Nurse Practitioner
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License Number | F381706
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License Number State | NY
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