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General NPI Number Information
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NPI Number | 1255462388
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Entity Type | Individual
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Provider Name | BRENDA ANN KRUL M.S.S.A., L.I.S.W.
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Gender | Female
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Dates
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Enumeration Date | 03/08/2007
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Last Update Date | 07/08/2007
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Provider Practice Location Address
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Address Line | 5706 TURNEY RD
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City | GARFIELD HEIGHTS
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State | OH
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Zip | 44125-3971
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Country | US
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Telephone | 216-518-9271
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Fax | 216-518-9298
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Provider Business Mailing Address
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Address Line | 12104 WILLARD AVE
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City | GARFIELD HEIGHTS
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State | OH
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Zip | 44125-3618
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Country | US
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Telephone | 216-663-2024
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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 | I-0009761
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License Number State | OH
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