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General NPI Number Information
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NPI Number | 1952393902
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Entity Type | Individual
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Provider Name | JENI-ANN KREN PH.D.
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Gender | Female
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Dates
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Enumeration Date | 08/16/2005
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Last Update Date | 07/08/2007
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Provider Practice Location Address
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Address Line | 106 POLLASKY AVE SUITE C
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City | CLOVIS
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State | CA
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Zip | 93612-1159
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Country | US
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Telephone | 559-297-6992
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Fax | 559-297-6992
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Provider Business Mailing Address
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Address Line | PO BOX 27763
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City | FRESNO
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State | CA
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Zip | 93729-7763
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Country | US
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Telephone | 559-297-6992
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Fax | 559-297-6992
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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 | 103TC0700X
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Taxonomy Name | Clinical Psychologist
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License Number | PSY6711
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License Number State | CA
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