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General NPI Number Information
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NPI Number | 1477460467
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Entity Type | Individual
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Provider Name | MICHAELA RENE KRUGAR
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Gender | Female
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Dates
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Enumeration Date | 08/25/2026
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Last Update Date | 08/25/2026
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Provider Practice Location Address
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Address Line | 660 NEWTOWN YARDLEY RD STE 203
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City | NEWTOWN
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State | PA
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Zip | 18940-4011
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Country | US
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Telephone | 215-344-7342
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Fax |
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Provider Business Mailing Address
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Address Line | 35 ICE POND RD
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City | LEVITTOWN
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State | PA
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Zip | 19057-2705
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Country | US
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Telephone |
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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 | 101YP2500X
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Taxonomy Name | Professional Counselor
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License Number | C017460
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License Number State | PA
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