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General NPI Number Information
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NPI Number | 1003825357
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Entity Type | Individual
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Provider Name | JOAN M. KRAUSS LCSW
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Gender | Female
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Dates
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Enumeration Date | 08/05/2006
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Last Update Date | 09/09/2008
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Provider Practice Location Address
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Address Line | 880 S LAKE BLVD
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City | MAHOPAC
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State | NY
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Zip | 10541-4771
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Country | US
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Telephone | 914-245-5039
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Fax | 914-302-6398
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Provider Business Mailing Address
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Address Line | 1185 WINDING CT
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City | MOHEGAN LAKE
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State | NY
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Zip | 10547-2010
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Country | US
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Telephone | 914-245-5039
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Fax | 845-628-9527
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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 | 1041C0700X
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Taxonomy Name | Clinical Social Worker
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License Number | PR009652-1
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License Number State | NY
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