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General NPI Number Information
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NPI Number | 1245787514
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Entity Type | Individual
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Provider Name | KRISTINE KROLL
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Gender | Female
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Dates
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Enumeration Date | 09/05/2016
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Last Update Date | 06/13/2018
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Provider Practice Location Address
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Address Line | 94 RICHBORO RD BLDG 2
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City | NEWTOWN
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State | PA
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Zip | 18940
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Country | US
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Telephone | 215-968-1094
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Fax |
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Provider Business Mailing Address
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Address Line | 7 CARNEGIE PLZ
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City | CHERRY HILL
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State | NJ
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Zip | 08003-1000
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Country | US
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Telephone | 877-407-3422
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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 | 225X00000X
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Taxonomy Name | Occupational Therapist
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License Number | OC014729
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License Number State | PA
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