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General NPI Number Information
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NPI Number | 1972826071
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Entity Type | Organization
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Legal Business Name | DOUGLAS A KRAUSS INC
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Dates
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Enumeration Date | 03/04/2010
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Last Update Date | 07/25/2012
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Provider Practice Location Address
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Address Line | 11132 S TOWNE SQ STE 105
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City | SAINT LOUIS
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State | MO
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Zip | 63123-7818
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Country | US
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Telephone | 314-892-1442
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Fax | 314-892-4523
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Provider Business Mailing Address
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Address Line | 11132 S TOWNE SQ STE 105
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City | SAINT LOUIS
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State | MO
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Zip | 63123-7818
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Country | US
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Telephone | 314-892-1442
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Fax | 314-892-4523
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Authorized Official
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Title or Position | PRESIDENT
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Name | DR. DOUGLAS A KRAUSS
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Credential | DPM
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Telephone | 314-892-1442
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 213EP1101X
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Taxonomy Name | Primary Podiatric Medicine Podiatrist
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License Number | 00393
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License Number State | MO
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