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General NPI Number Information
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NPI Number | 1861278178
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Entity Type | Organization
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Legal Business Name | C D MERCHUT-KRUGER, LCSW, PLLC
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Dates
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Enumeration Date | 09/01/2023
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Last Update Date | 09/01/2023
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Provider Practice Location Address
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Address Line | 9562 KINGS CHARTER DR STE 102
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City | ASHLAND
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State | VA
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Zip | 23005-8065
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Country | US
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Telephone | 804-503-5346
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Fax |
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Provider Business Mailing Address
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Address Line | 3306 FOREST HILL AVE
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City | RICHMOND
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State | VA
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Zip | 23225-3434
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Country | US
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Telephone | 847-302-5176
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Fax |
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Authorized Official
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Title or Position | OWNER
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Name | CATHERINE D MERCHUT-KRUGER
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Credential | LCSW
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Telephone | 847-302-5176
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 1041C0700X
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Taxonomy Name | Clinical Social Worker
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License Number |
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License Number State |
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