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General NPI Number Information
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NPI Number | 1356525224
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Entity Type | Organization
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Legal Business Name | KREUZ CLINICAL SERVICES, INC
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Dates
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Enumeration Date | 12/27/2007
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Last Update Date | 12/27/2007
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Provider Practice Location Address
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Address Line | 2525 OAKSTONE DR SUITE B
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City | COLUMBUS
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State | OH
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Zip | 43231-7612
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Country | US
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Telephone | 614-325-6752
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Fax | 614-436-5138
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Provider Business Mailing Address
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Address Line | 2525 OAKSTONE DR SUITE B
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City | COLUMBUS
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State | OH
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Zip | 43231-7612
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Country | US
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Telephone | 614-325-6752
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Fax | 614-436-5138
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Authorized Official
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Title or Position | PRESIDENT
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Name | MR. JOHN ROBERT KREUZ
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Credential | LISW, LICDC, LIMFT
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Telephone | 614-325-6752
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 174400000X
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Taxonomy Name | Specialist
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License Number | F117
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License Number State | OH
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Taxonomy #2
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Taxonomy Code | 174400000X
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Taxonomy Name | Specialist
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License Number | 841152
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License Number State | OH
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Taxonomy #3
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Taxonomy Code | 1041C0700X
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Taxonomy Name | Clinical Social Worker
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License Number | I4716
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License Number State | OH
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