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General NPI Number Information
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NPI Number | 1861537342
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Entity Type | Individual
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Provider Name | AMIE LYNN KRAFT
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Gender | Female
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Dates
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Enumeration Date | 02/21/2007
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Last Update Date | 07/08/2007
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Provider Practice Location Address
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Address Line | 1220 VALLEY FORGE RD SUITE 18
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City | VALLEY FORGE
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State | PA
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Zip | 19482
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Country | US
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Telephone | 610-574-2801
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Fax |
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Provider Business Mailing Address
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Address Line | 9 HELEN CIR
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City | ROYERSFORD
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State | PA
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Zip | 19468-2730
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Country | US
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Telephone | 610-948-5265
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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 | 174400000X
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Taxonomy Name | Specialist
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License Number |
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License Number State |
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