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General NPI Number Information
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NPI Number | 1780524249
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Entity Type | Individual
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Provider Name | KERRY L. KRACHMAN
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Gender | Female
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Dates
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Enumeration Date | 04/01/2026
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Last Update Date | 04/01/2026
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Provider Practice Location Address
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Address Line | 615 HOPE RD STE 5B5C
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City | EATONTOWN
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State | NJ
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Zip | 07724-1277
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Country | US
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Telephone | 732-858-5432
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Fax |
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Provider Business Mailing Address
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Address Line | 15 BRADY RD
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City | SHREWSBURY
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State | NJ
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Zip | 07702-4464
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Country | US
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Telephone | 732-778-6794
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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 | 44SCLO6991400
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License Number State | NJ
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