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General NPI Number Information
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NPI Number | 1821487935
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Entity Type | Individual
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Provider Name | WILLIAM DAVID KRIEGER PHD, MSW, LCSW ACSW
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Gender | Male
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Dates
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Enumeration Date | 01/13/2015
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Last Update Date | 01/15/2019
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Provider Practice Location Address
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Address Line | 2900 W PROSPECT RD
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City | FORT LAUDERDALE
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State | FL
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Zip | 33309-2519
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Country | US
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Telephone | 954-731-5100
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Fax |
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Provider Business Mailing Address
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Address Line | 2881 E OAKLAND PARK BLVD STE 305
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City | FORT LAUDERDALE
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State | FL
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Zip | 33306-1813
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Country | US
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Telephone | 954-478-2902
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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 | SW10845
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License Number State | FL
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Taxonomy #2
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Taxonomy Code | 1041C0700X
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Taxonomy Name | Clinical Social Worker
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License Number | SW10845
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License Number State | FL
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