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General NPI Number Information
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NPI Number | 1477211233
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Entity Type | Individual
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Provider Name | ARIEL KRAKOWSKY LCSW
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Gender | Female
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Dates
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Enumeration Date | 11/29/2021
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Last Update Date | 11/29/2021
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Provider Practice Location Address
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Address Line | 1 POSITIVE PL
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City | SAN MARCOS
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State | CA
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Zip | 92069-2875
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Country | US
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Telephone | 760-471-2490
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Fax |
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Provider Business Mailing Address
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Address Line | 1005 ARMORLITE DR APT 357
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City | SAN MARCOS
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State | CA
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Zip | 92069-1694
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Country | US
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Telephone | 818-516-9681
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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 | 1041C0700X
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Taxonomy Name | Clinical Social Worker
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License Number | 104162
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License Number State | CA
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