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General NPI Number Information
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NPI Number | 1881942530
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Entity Type | Individual
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Provider Name | ANN KRUPSKI LPC, LAC
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Gender | Female
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Dates
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Enumeration Date | 08/28/2012
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Last Update Date | 08/27/2013
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Provider Practice Location Address
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Address Line | 10 BOULDER CRESCENT ST SUITE 102E
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City | COLORADO SPRINGS
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State | CO
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Zip | 80903-3344
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Country | US
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Telephone | 719-439-9633
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Fax | 719-578-9149
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Provider Business Mailing Address
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Address Line | 1715 ROCKHURST BLVD
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City | COLORADO SPRINGS
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State | CO
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Zip | 80918-8173
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Country | US
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Telephone | 719-439-9633
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Fax | 719-578-9149
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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 | 0011138
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License Number State | CO
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Taxonomy #2
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Taxonomy Code | 101YA0400X
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Taxonomy Name | Addiction (Substance Use Disorder) Counselor
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License Number | ACD0000348
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License Number State | CO
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