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General NPI Number Information
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NPI Number | 1861359267
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Entity Type | Individual
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Provider Name | JOHN M CRAKER JR.
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Gender | Male
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Dates
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Enumeration Date | 01/07/2026
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Last Update Date | 01/07/2026
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Provider Practice Location Address
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Address Line | 6847 N CHESTNUT ST
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City | RAVENNA
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State | OH
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Zip | 44266-3929
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Country | US
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Telephone | 230-297-0811
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Fax |
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Provider Business Mailing Address
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Address Line | 2963 TALL TREE TRL
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City | WILLOUGHBY HILLS
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State | OH
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Zip | 44092-2618
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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 |
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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 | 367500000X
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Taxonomy Name | Certified Registered Nurse Anesthetist
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License Number | APRN.CRNA.0021456
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License Number State | OH
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