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General NPI Number Information
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NPI Number | 1962524629
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Entity Type | Organization
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Legal Business Name | KRAUSS DERMATOLOGY PC
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Dates
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Enumeration Date | 04/04/2007
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Last Update Date | 09/24/2025
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Provider Practice Location Address
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Address Line | 1 WASHINGTON ST SUITE 401
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City | WELLESLEY
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State | MA
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Zip | 02481-1711
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Country | US
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Telephone | 781-416-3500
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Fax | 781-416-3505
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Provider Business Mailing Address
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Address Line | 1 WASHINGTON ST SUITE 401
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City | WELLESLEY
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State | MA
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Zip | 02481-1711
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Country | US
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Telephone | 781-416-3500
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Fax | 781-416-3505
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Authorized Official
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Title or Position | OFFICE MANAGER
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Name | MRS. JENNA M O'HARA
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Credential |
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Telephone | 781-416-3500
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207N00000X
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Taxonomy Name | Dermatology Physician
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License Number |
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License Number State |
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