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General NPI Number Information
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NPI Number | 1790328920
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Entity Type | Individual
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Provider Name | ALEXANDER OLIVER KRUEGER LPC
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Gender | Male
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Dates
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Enumeration Date | 10/21/2019
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Last Update Date | 05/20/2024
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Provider Practice Location Address
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Address Line | 8100 LOMO ALTO DR STE 238
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City | DALLAS
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State | TX
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Zip | 75225-6545
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Country | US
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Telephone | 214-981-4918
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Fax |
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Provider Business Mailing Address
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Address Line | 8325 MEADOW RD APT 119
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City | DALLAS
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State | TX
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Zip | 75231-3714
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Country | US
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Telephone | 817-517-8537
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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 | 101Y00000X
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Taxonomy Name | Counselor
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License Number | 79353
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License Number State | TX
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