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General NPI Number Information
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NPI Number | 1083759336
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Entity Type | Individual
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Provider Name | KRISTIN PERRONE PH.D., H.S.P.P.
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Gender | Female
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Dates
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Enumeration Date | 02/21/2007
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Last Update Date | 05/12/2025
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Provider Practice Location Address
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Address Line | 3301 W PURDUE AVE
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City | MUNCIE
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State | IN
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Zip | 47304-6356
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Country | US
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Telephone | 765-284-0043
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Fax |
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Provider Business Mailing Address
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Address Line | 10629 KENSINGTON LN
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City | FORTVILLE
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State | IN
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Zip | 46040-8900
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Country | US
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Telephone | 317-441-6687
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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 | 103T00000X
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Taxonomy Name | Psychologist
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License Number | 20041593A
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License Number State | IN
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