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General NPI Number Information
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NPI Number | 1851406144
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Entity Type | Organization
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Legal Business Name | WARREN M. KRAUS, MD, PC
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Dates
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Enumeration Date | 08/20/2006
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Last Update Date | 08/22/2020
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Provider Practice Location Address
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Address Line | 34-36 PROGRESS ST STE B1
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City | EDISON
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State | NJ
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Zip | 08820-1197
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Country | US
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Telephone | 732-269-2684
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Fax | 732-269-3963
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Provider Business Mailing Address
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Address Line | PO BOX 707
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City | S PLAINFIELD
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State | NJ
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Zip | 07080-0707
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Country | US
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Telephone | 732-269-2684
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Fax | 732-269-3963
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Authorized Official
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Title or Position | OWNER
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Name | WARREN M KRAUS
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Credential | MD
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Telephone | 732-269-2684
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207Y00000X
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Taxonomy Name | Otolaryngology Physician
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License Number | MA63223
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License Number State | NJ
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