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General NPI Number Information
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NPI Number | 1467890418
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Entity Type | Individual
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Provider Name | MRS. DONNA KAY KROENER
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Gender | Female
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Dates
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Enumeration Date | 06/12/2013
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Last Update Date | 06/12/2013
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Provider Practice Location Address
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Address Line | 2233 DEERFIELD DR
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City | FORT MILL
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State | SC
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Zip | 29715-6941
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Country | US
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Telephone | 803-835-0026
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Fax |
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Provider Business Mailing Address
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Address Line | 4104 MARQUESAS AVE
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City | TEGA CAY
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State | SC
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Zip | 29708-8531
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Country | US
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Telephone | 425-760-7698
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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 | 103TS0200X
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Taxonomy Name | School Psychologist
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License Number | 4601
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License Number State | SC
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