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General NPI Number Information
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NPI Number | 1710554787
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Entity Type | Individual
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Provider Name | ANNA KATHERINE KRAFT
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Gender | Female
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Dates
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Enumeration Date | 06/08/2021
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Last Update Date | 01/07/2024
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Provider Practice Location Address
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Address Line | N14W23777 STONE RIDGE DR STE 135
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City | WAUKESHA
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State | WI
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Zip | 53188-1164
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Country | US
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Telephone | 414-446-0751
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Fax |
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Provider Business Mailing Address
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Address Line | 1400 E WARNIMONT AVE APT 104
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City | MILWAUKEE
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State | WI
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Zip | 53207-3561
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Country | US
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Telephone | 847-607-1471
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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 | 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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Taxonomy #2
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Taxonomy Code | 101YP2500X
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Taxonomy Name | Professional Counselor
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License Number | 10087-125
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License Number State | WI
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