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General NPI Number Information
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NPI Number | 1952613135
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Entity Type | Individual
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Provider Name | SUMAYA ANNE KROGER MS, LPC, SAC
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Gender | Female
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Dates
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Enumeration Date | 07/05/2010
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Last Update Date | 05/02/2013
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Provider Practice Location Address
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Address Line | 9364 W LOOMIS RD #3
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City | FRANKLIN
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State | WI
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Zip | 53132-8243
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Country | US
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Telephone | 414-732-9404
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Fax |
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Provider Business Mailing Address
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Address Line | 9364 W LOOMIS RD #3
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City | FRANKLIN
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State | WI
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Zip | 53132-8243
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Country | US
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Telephone | 414-732-9404
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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 | 101YA0400X
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Taxonomy Name | Addiction (Substance Use Disorder) Counselor
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License Number | 15911-130
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License Number State | WI
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Taxonomy #2
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Taxonomy Code | 101YM0800X
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Taxonomy Name | Mental Health Counselor
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License Number | 641-226
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License Number State | WI
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