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General NPI Number Information
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NPI Number | 1861760589
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Entity Type | Individual
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Provider Name | PEGGY KAREN KRAUS CDE. RCEP
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Gender | Female
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Dates
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Enumeration Date | 12/08/2011
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Last Update Date | 04/25/2016
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Provider Practice Location Address
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Address Line | 349 MEETING HOUSE LN
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City | SOUTHAMPTON
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State | NY
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Zip | 11968-5051
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Country | US
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Telephone | 631-377-3630
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Fax | 631-377-3631
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Provider Business Mailing Address
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Address Line | 82 SPRINGVILLE ROAD
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City | HAMPTON BAYS
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State | NY
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Zip | 11946-2453
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Country | US
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Telephone | 631-728-5575
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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 | 224Y00000X
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Taxonomy Name | Clinical Exercise Physiologist
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License Number |
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License Number State |
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Taxonomy #2
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Taxonomy Code | 101Y00000X
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Taxonomy Name | Counselor
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License Number |
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License Number State |
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