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General NPI Number Information
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NPI Number | 1265343610
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Entity Type | Individual
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Provider Name | DEBBIE SUZANNE KRUPPA LISW-S
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Gender | Female
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Dates
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Enumeration Date | 09/15/2026
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Last Update Date | 09/15/2026
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Provider Practice Location Address
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Address Line | 2651 HOAGLAND BLACKSTUB RD NE
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City | WARREN
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State | OH
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Zip | 44481-9328
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Country | US
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Telephone | 330-219-1129
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Fax |
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Provider Business Mailing Address
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Address Line | 418 DURST DR NW
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City | WARREN
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State | OH
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Zip | 44483-1108
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Country | US
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Telephone | 330-219-1129
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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 | 101Y00000X
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Taxonomy Name | Counselor
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License Number | I.0005679-SUPV
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License Number State | OH
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Taxonomy #2
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Taxonomy Code | 101YM0800X
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Taxonomy Name | Mental Health Counselor
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License Number | I.0005679-SUPV
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License Number State | OH
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