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General NPI Number Information
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NPI Number | 1356664635
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Entity Type | Individual
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Provider Name | ALYSSA KRATZE
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Gender | Female
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Dates
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Enumeration Date | 03/01/2010
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Last Update Date | 06/27/2025
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Provider Practice Location Address
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Address Line | 185 PILGRIM RD
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City | BOSTON
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State | MA
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Zip | 02215-5324
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Country | US
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Telephone | 858-444-7121
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Fax |
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Provider Business Mailing Address
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Address Line | 300 HARRISON AVE UNIT 437
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City | BOSTON
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State | MA
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Zip | 02118-2829
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Country | US
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Telephone | 858-444-7121
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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 | 104100000X
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Taxonomy Name | Social Worker
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License Number |
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License Number State | MA
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Taxonomy #2
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Taxonomy Code | 1041C0700X
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Taxonomy Name | Clinical Social Worker
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License Number |
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License Number State | IL
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