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General NPI Number Information
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NPI Number | 1962570176
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Entity Type | Organization
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Legal Business Name | KRAUZA FAMILY CHIROPRACTIC, INC
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Dates
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Enumeration Date | 12/04/2006
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Last Update Date | 06/09/2008
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Provider Practice Location Address
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Address Line | 4190 E LAKE RD
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City | ERIE
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State | PA
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Zip | 16511-1355
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Country | US
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Telephone | 814-898-2346
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Fax | 814-899-6650
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Provider Business Mailing Address
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Address Line | 4190 E LAKE RD
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City | ERIE
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State | PA
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Zip | 16511-1355
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Country | US
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Telephone | 814-898-2346
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Fax | 814-899-6650
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Authorized Official
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Title or Position | OWNER
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Name | DR. STEVEN D. KRAUZA
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Credential | D.C.
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Telephone | 814-898-2346
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 111N00000X
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Taxonomy Name | Chiropractor
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License Number | DC009095
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License Number State | PA
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