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General NPI Number Information
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NPI Number | 1780058545
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Entity Type | Organization
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Legal Business Name | CATHERINE KRALL
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Dates
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Enumeration Date | 11/17/2015
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Last Update Date | 11/17/2015
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Provider Practice Location Address
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Address Line | 410 ALABAMA ST
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City | REDLANDS
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State | CA
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Zip | 92373-8088
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Country | US
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Telephone | 951-310-6833
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Fax |
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Provider Business Mailing Address
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Address Line | 27565 HOPI SPRINGS CT
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City | CORONA
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State | CA
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Zip | 92883-6606
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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 | PROGRAM SUPERVISOR
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Name | CATHERINE KRALL
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Credential | M.A
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Telephone | 951-310-6833
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 251S00000X
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Taxonomy Name | Community/Behavioral Health Agency
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License Number |
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License Number State |
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