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General NPI Number Information
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NPI Number | 1407060163
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Entity Type | Individual
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Provider Name | JUDITH STORMS KRAFT LCSW
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Gender | Female
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Dates
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Enumeration Date | 05/10/2007
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Last Update Date | 05/22/2012
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Provider Practice Location Address
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Address Line | 5000 N OCEAN BLVD
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City | BRINY BREEZES
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State | FL
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Zip | 33435-7341
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Country | US
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Telephone | 561-271-9111
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Fax | 561-243-1988
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Provider Business Mailing Address
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Address Line | 5000 N OCEAN BLVD A-17
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City | BRINY BREEZES
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State | FL
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Zip | 33435-7341
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Country | US
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Telephone | 561-271-9111
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Fax | 561-243-1988
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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 | SW 8326
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License Number State | FL
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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 | 105467
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License Number State | MA
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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 | 004606
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License Number State | CT
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