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General NPI Number Information
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NPI Number | 1447359062
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Entity Type | Individual
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Provider Name | JAMES H KRALL LCSW
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Gender | Male
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Dates
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Enumeration Date | 09/21/2006
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Last Update Date | 12/17/2018
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Provider Practice Location Address
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Address Line | 33 STATION RD PO BOX 92
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City | HAMPTON
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State | CT
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Zip | 06247
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Country | US
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Telephone | 860-942-3709
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Fax | 860-465-9848
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Provider Business Mailing Address
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Address Line | PO BOX 92
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City | HAMPTON
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State | CT
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Zip | 06247
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Country | US
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Telephone | 860-972-3709
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Fax | 860-465-9848
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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 | 000798
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License Number State | CT
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