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General NPI Number Information
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NPI Number | 1144359951
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Entity Type | Individual
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Provider Name | ANNA MARIE KRAJCIN CCC-SLP, BCBA
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Gender | Female
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Dates
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Enumeration Date | 03/05/2007
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Last Update Date | 02/13/2021
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Provider Practice Location Address
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Address Line | 1485 COVENTRY RD
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City | CONCORD
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State | CA
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Zip | 94518-1120
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Country | US
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Telephone | 925-672-9440
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Fax |
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Provider Business Mailing Address
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Address Line | 1485 COVENTRY RD
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City | CONCORD
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State | CA
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Zip | 94518-1120
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Country | US
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Telephone | 925-708-4565
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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 | 103K00000X
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Taxonomy Name | Behavior Analyst
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License Number | 1-16-21451
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License Number State | CA
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Taxonomy #2
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Taxonomy Code | 235Z00000X
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Taxonomy Name | Speech-Language Pathologist
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License Number | SLP 13526
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License Number State | CA
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