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General NPI Number Information
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NPI Number | 1831346931
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Entity Type | Individual
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Provider Name | DIANE RAE KRASNER LPC
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Gender | Female
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Dates
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Enumeration Date | 08/20/2008
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Last Update Date | 12/11/2013
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Provider Practice Location Address
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Address Line | 245 US HWY RT 22 WEST SUITE 107
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City | BRIDGEWATER
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State | NJ
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Zip | 08807-2560
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Country | US
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Telephone | 908-722-4300
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Fax | 908-722-1134
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Provider Business Mailing Address
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Address Line | 307 SUMMER RD
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City | BRANCHBURG
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State | NJ
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Zip | 08853-4067
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Country | US
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Telephone | 908-418-2066
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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 | 101YP2500X
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Taxonomy Name | Professional Counselor
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License Number | 37PC00347400
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License Number State | NJ
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