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General NPI Number Information
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NPI Number | 1528399979
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Entity Type | Individual
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Provider Name | ERIC KENNETH KRUGER LMFT
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Gender | Male
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Dates
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Enumeration Date | 01/25/2010
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Last Update Date | 03/04/2021
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Provider Practice Location Address
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Address Line | 1010 GARDEN ST
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City | SANTA BARBARA
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State | CA
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Zip | 93101-1417
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Country | US
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Telephone | 805-680-6399
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Fax |
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Provider Business Mailing Address
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Address Line | 6081 SUELLEN CT
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City | GOLETA
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State | CA
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Zip | 93117-1780
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Country | US
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Telephone | 805-680-6399
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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 | 106H00000X
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Taxonomy Name | Marriage & Family Therapist
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License Number | 84004
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License Number State | CA
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