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General NPI Number Information
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NPI Number | 1104380401
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Entity Type | Individual
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Provider Name | ANN KRAJEWSKI PSYD
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Gender | Female
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Dates
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Enumeration Date | 01/31/2019
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Last Update Date | 08/01/2024
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Provider Practice Location Address
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Address Line | 1555 CONNECTICUT AVE NW STE 200
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City | WASHINGTON
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State | DC
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Zip | 20036-1126
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Country | US
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Telephone | 703-755-8008
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Fax |
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Provider Business Mailing Address
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Address Line | 102 POLARIS PL
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City | CHEHALIS
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State | WA
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Zip | 98532-9023
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Country | US
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Telephone | 703-577-3220
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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 | 103TC0700X
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Taxonomy Name | Clinical Psychologist
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License Number | 0810007722
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License Number State | VA
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Taxonomy #2
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Taxonomy Code | 103TC0700X
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Taxonomy Name | Clinical Psychologist
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License Number | PSY200001564
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License Number State | DC
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Taxonomy #3
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Taxonomy Code | 103TC0700X
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Taxonomy Name | Clinical Psychologist
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License Number | PY61300930
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License Number State | WA
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