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General NPI Number Information
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NPI Number | 1427560028
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Entity Type | Individual
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Provider Name | BARBARA Y KROEHLE PCC-S
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Gender | Female
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Dates
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Enumeration Date | 11/04/2017
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Last Update Date | 11/04/2017
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Provider Practice Location Address
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Address Line | 1021 RIDGEWOOD RD
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City | WADSWORTH
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State | OH
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Zip | 44281-9711
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Country | US
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Telephone | 234-206-0815
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Fax |
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Provider Business Mailing Address
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Address Line | 26956 WINDWOOD WAY
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City | OLMSTED TWP
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State | OH
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Zip | 44138-1168
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Country | US
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Telephone | 440-221-3099
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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 | 101YM0800X
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Taxonomy Name | Mental Health Counselor
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License Number | E.0006984-SUPV
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License Number State | OH
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