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General NPI Number Information
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NPI Number | 1679878631
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Entity Type | Individual
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Provider Name | DENISE C KRAUS LPCC
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Gender | Female
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Dates
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Enumeration Date | 01/21/2011
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Last Update Date | 07/17/2020
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Provider Practice Location Address
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Address Line | 30300 AGOURA RD
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City | AGOURA
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State | CA
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Zip | 91301-5400
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Country | US
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Telephone | 818-532-7950
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Fax |
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Provider Business Mailing Address
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Address Line | 1957 LOS FELIZ DR APT 264
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City | THOUSAND OAKS
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State | CA
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Zip | 91362-5515
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Country | US
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Telephone | 541-292-1545
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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 | 101YP2500X
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Taxonomy Name | Professional Counselor
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License Number | XL4578
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License Number State | ME
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