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General NPI Number Information
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NPI Number | 1487189742
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Entity Type | Individual
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Provider Name | MRS. JULIA KRULEE
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Gender | Female
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Dates
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Enumeration Date | 04/25/2017
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Last Update Date | 04/25/2017
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Provider Practice Location Address
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Address Line | 433 S MAIN ST 225
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City | WEST HARTFORD
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State | CT
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Zip | 06110-1670
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Country | US
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Telephone | 860-207-9449
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Fax |
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Provider Business Mailing Address
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Address Line | 1 PENWOOD RD
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City | BLOOMFIELD
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State | CT
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Zip | 06002-1520
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Country | US
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Telephone | 860-830-7150
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Fax | 860-216-6676
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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 | 101YM0800X
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Taxonomy Name | Mental Health Counselor
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License Number |
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License Number State |
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Taxonomy #2
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Taxonomy Code | 101YP2500X
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Taxonomy Name | Professional Counselor
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License Number |
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License Number State |
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Taxonomy #3
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Taxonomy Code | 390200000X
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Taxonomy Name | Student in an Organized Health Care Education/Training Program
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License Number |
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