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General NPI Number Information
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NPI Number | 1881902484
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Entity Type | Individual
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Provider Name | VANESSA CATHERINE KRUGER OTR/L
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Gender | Female
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Dates
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Enumeration Date | 09/16/2010
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Last Update Date | 02/13/2023
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Provider Practice Location Address
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Address Line | 361 E 19TH ST STE 5
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City | NEW YORK
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State | NY
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Zip | 10003-2888
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Country | US
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Telephone | 212-721-5220
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Fax |
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Provider Business Mailing Address
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Address Line | PO BOX 1826
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City | MCKINNEY
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State | TX
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Zip | 75070-8160
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Country | US
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Telephone | 646-420-0177
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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 | 225XP0200X
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Taxonomy Name | Pediatric Occupational Therapist
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License Number | 123338
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License Number State | TX
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Taxonomy #2
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Taxonomy Code | 225XP0200X
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Taxonomy Name | Pediatric Occupational Therapist
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License Number | 016079-1
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License Number State | NY
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