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General NPI Number Information
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NPI Number | 1477346393
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Entity Type | Organization
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Legal Business Name | KRADLEKARE LLC
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Dates
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Enumeration Date | 05/23/2025
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Last Update Date | 05/23/2025
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Provider Practice Location Address
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Address Line | 101 ELLWOOD AVE APT 4C
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City | MOUNT VERNON
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State | NY
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Zip | 10552-3428
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Country | US
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Telephone | 347-920-6901
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Fax |
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Provider Business Mailing Address
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Address Line | PO BOX 572
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City | MOUNT VERNON
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State | NY
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Zip | 10552-0572
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Country | US
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Telephone | 347-920-6901
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Fax |
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Authorized Official
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Title or Position | OWNER
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Name | KAREN A. SURGEON
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Credential |
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Telephone | 347-920-6901
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 374J00000X
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Taxonomy Name | Doula
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License Number |
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License Number State |
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