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General NPI Number Information
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NPI Number | 1982806543
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Entity Type | Individual
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Provider Name | CAROL ANN KRAG PT
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Gender | Female
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Dates
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Enumeration Date | 06/04/2007
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Last Update Date | 07/08/2007
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Provider Practice Location Address
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Address Line | 522 ANDERSON ST
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City | GREENCASTLE
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State | IN
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Zip | 46135-1729
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Country | US
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Telephone | 765-653-2781
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Fax | 765-653-6110
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Provider Business Mailing Address
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Address Line | 416 GLENVIEW DR
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City | GREENCASTLE
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State | IN
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Zip | 46135-7489
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Country | US
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Telephone | 765-653-5494
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Fax | 765-653-6110
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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 | 225100000X
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Taxonomy Name | Physical Therapist
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License Number | 05002753A
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License Number State | IN
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