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General NPI Number Information
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NPI Number | 1942552393
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Entity Type | Organization
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Legal Business Name | KRAUSE INTEGRATIVE MEDICINE, INC.
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Dates
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Enumeration Date | 10/10/2012
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Last Update Date | 10/10/2012
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Provider Practice Location Address
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Address Line | 1098 SW 5TH ST
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City | BOCA RATON
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State | FL
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Zip | 33486-4516
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Country | US
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Telephone | 561-859-5896
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Fax |
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Provider Business Mailing Address
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Address Line | PO BOX 272421
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City | BOCA RATON
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State | FL
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Zip | 33427-2421
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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 | ACUPUNCTURE PHYSICIAN
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Name | GARRETT KRAUSE
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Credential |
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Telephone | 561-859-5896
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 171100000X
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Taxonomy Name | Acupuncturist
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License Number | AP2154
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License Number State | FL
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