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NPI 1639804826

NPI 1639804826 : MELISSA ANNA KRAHMER : WICHITA FALLS, TX

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General NPI Number Information
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    NPI Number           |    1639804826
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    Entity Type          |    Individual 
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    Provider Name        |    MELISSA ANNA KRAHMER
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    Gender               |    Female 
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Dates
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    Enumeration Date     |    07/21/2022
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    Last Update Date     |    05/29/2025
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Provider Practice Location Address
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    Address Line         |    5409 CASTLE DR 
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    City                 |    WICHITA FALLS
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    State                |    TX
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    Zip                  |    76306-1352
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    Country              |    US
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    Telephone            |    940-855-3867
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    Fax                  |    
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Provider Business Mailing Address
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    Address Line         |    4577 HAWKINS BLVD 
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    City                 |    JACKSONVILLE
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    State                |    NC
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    Zip                  |    28540-3852
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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        |    104100000X
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    Taxonomy Name        |    Social Worker
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    License Number       |    68723
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    License Number State |    TX
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Taxonomy #2
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    Taxonomy Code        |    1041C0700X
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    Taxonomy Name        |    Clinical Social Worker
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    License Number       |    
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    License Number State |    
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