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General NPI Number Information
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NPI Number | 1225613888
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Entity Type | Individual
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Provider Name | KAREN KRANBUEHL LCSWA
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Gender | Female
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Dates
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Enumeration Date | 03/16/2021
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Last Update Date | 03/16/2021
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Provider Practice Location Address
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Address Line | 1330 SAINT MARYS ST STE 340
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City | RALEIGH
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State | NC
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Zip | 27605-3334
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Country | US
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Telephone | 919-229-9834
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Fax |
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Provider Business Mailing Address
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Address Line | 4600 GUNSTON PL
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City | RALEIGH
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State | NC
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Zip | 27612-3948
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Country | US
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Telephone | 757-232-5244
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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 | 1041C0700X
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Taxonomy Name | Clinical Social Worker
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License Number | P014549
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License Number State | NC
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