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General NPI Number Information
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NPI Number | 1164686325
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Entity Type | Individual
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Provider Name | JENNIFER KRAKER MD, MS
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Gender | Female
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Dates
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Enumeration Date | 07/16/2008
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Last Update Date | 02/17/2026
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Provider Practice Location Address
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Address Line | 122 E 42ND ST RM 3006
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City | NEW YORK
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State | NY
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Zip | 10168-3095
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Country | US
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Telephone | 646-813-3750
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Fax | 646-701-5655
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Provider Business Mailing Address
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Address Line | 122 E 42ND ST RM 3006
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City | NEW YORK
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State | NY
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Zip | 10168-3095
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Country | US
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Telephone | 646-813-3750
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Fax | 646-701-5655
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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 | 2083P0901X
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Taxonomy Name | Public Health & General Preventive Medicine Physician
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License Number | 257741
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License Number State | NY
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Taxonomy #2
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Taxonomy Code | 2083A0300X
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Taxonomy Name | Addiction Medicine (Preventive Medicine) Physician
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License Number | 257741
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License Number State | NY
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Taxonomy #3
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Taxonomy Code | 2083P0901X
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Taxonomy Name | Public Health & General Preventive Medicine Physician
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License Number | C184648
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License Number State | CA
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Taxonomy #4
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Taxonomy Code | 2084P0800X
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Taxonomy Name | Psychiatry Physician
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License Number | ME160250
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License Number State | FL
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Taxonomy #5
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Taxonomy Code | 2084P0800X
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Taxonomy Name | Psychiatry Physician
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License Number | 0101287718
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License Number State | VA
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Taxonomy #6
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Taxonomy Code | 2084P0800X
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Taxonomy Name | Psychiatry Physician
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License Number | C184648
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License Number State | CA
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Taxonomy #7
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Taxonomy Code | 2083P0901X
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Taxonomy Name | Public Health & General Preventive Medicine Physician
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License Number | 0101287718
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License Number State | VA
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Taxonomy #8
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Taxonomy Code | 2083A0300X
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Taxonomy Name | Addiction Medicine (Preventive Medicine) Physician
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License Number | ME160250
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License Number State | FL
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Taxonomy #9
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Taxonomy Code | 2083P0901X
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Taxonomy Name | Public Health & General Preventive Medicine Physician
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License Number | ME160250
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License Number State | FL
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Taxonomy #10
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Taxonomy Code | 2084P0800X
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Taxonomy Name | Psychiatry Physician
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License Number | 257741
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License Number State | NY
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Taxonomy #11
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Taxonomy Code | 2083A0300X
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Taxonomy Name | Addiction Medicine (Preventive Medicine) Physician
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License Number | C184648
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License Number State | CA
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