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General NPI Number Information
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NPI Number | 1558225169
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Entity Type | Organization
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Legal Business Name | KR FAMILY HEALTH NP PC
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Dates
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Enumeration Date | 12/10/2025
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Last Update Date | 12/10/2025
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Provider Practice Location Address
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Address Line | 3 NEPTUNE RD STE P23
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City | POUGHKEEPSIE
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State | NY
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Zip | 12601-5500
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Country | US
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Telephone | 800-611-0185
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Fax | 800-930-5241
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Provider Business Mailing Address
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Address Line | 828 FEDERAL RD STE B
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City | BROOKFIELD
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State | CT
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Zip | 06804-1847
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Country | US
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Telephone | 800-611-0185
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Fax | 800-930-5241
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Authorized Official
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Title or Position | CEO
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Name | MARCO NAGUIB
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Credential |
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Telephone | 800-611-0185
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 103TC0700X
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Taxonomy Name | Clinical Psychologist
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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 | 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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