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General NPI Number Information
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NPI Number | 1972662906
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Entity Type | Individual
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Provider Name | TRISHA ANN KRAUSE DMD MS
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Gender | Female
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Dates
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Enumeration Date | 12/06/2006
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Last Update Date | 07/08/2007
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Provider Practice Location Address
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Address Line | 5318 B PATTERSON AVE
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City | RICHMOND
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State | VA
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Zip | 23226
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Country | US
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Telephone | 804-285-0400
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Fax | 804-285-0303
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Provider Business Mailing Address
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Address Line | 3905 CARY STREET ROAD
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City | RICHMOND
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State | VA
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Zip | 23221
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Country | US
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Telephone | 804-358-5610
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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 | 1223E0200X
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Taxonomy Name | Endodontics
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License Number | 0401411549
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License Number State | VA
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