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General NPI Number Information
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NPI Number | 1932465986
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Entity Type | Individual
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Provider Name | MARTIE KROL M.S., CCC, SLP, BCBA
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Gender | Female
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Dates
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Enumeration Date | 04/04/2012
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Last Update Date | 09/11/2022
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Provider Practice Location Address
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Address Line | 721 DOROTHY ST
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City | HOUSTON
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State | TX
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Zip | 77007-1742
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Country | US
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Telephone | 845-548-4043
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Fax |
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Provider Business Mailing Address
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Address Line | 721 DOROTHY ST
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City | HOUSTON
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State | TX
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Zip | 77007-1742
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Country | US
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Telephone | 845-548-4043
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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 | 103K00000X
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Taxonomy Name | Behavior Analyst
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License Number | 1-14-16142
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License Number State | NY
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Taxonomy #2
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Taxonomy Code | 103K00000X
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Taxonomy Name | Behavior Analyst
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License Number | 3351
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License Number State | TX
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Taxonomy #3
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Taxonomy Code | 235Z00000X
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Taxonomy Name | Speech-Language Pathologist
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License Number | 021474-1
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License Number State | NY
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Taxonomy #4
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Taxonomy Code | 235Z00000X
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Taxonomy Name | Speech-Language Pathologist
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License Number | 114204
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License Number State | TX
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