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General NPI Number Information
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NPI Number | 1558105452
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Entity Type | Individual
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Provider Name | STEPHEN KRAUSE
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Gender | Male
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Dates
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Enumeration Date | 06/24/2024
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Last Update Date | 06/24/2024
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Provider Practice Location Address
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Address Line | 545 ISLAND RD STE 2B
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City | RAMSEY
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State | NJ
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Zip | 07446-2822
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Country | US
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Telephone | 201-995-1004
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Fax |
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Provider Business Mailing Address
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Address Line | 104 BELLGROVE DR APT 1B
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City | MAHWAH
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State | NJ
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Zip | 07430-2266
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Country | US
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Telephone | 201-660-4159
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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 | 104100000X
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Taxonomy Name | Social Worker
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License Number | 44SL07144900
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License Number State | NJ
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