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General NPI Number Information
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NPI Number | 1154843357
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Entity Type | Individual
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Provider Name | DR. ALENA KRYVANOS
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Gender | Female
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Dates
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Enumeration Date | 07/10/2017
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Last Update Date | 09/18/2025
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Provider Practice Location Address
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Address Line | 2530 N 8TH ST STE 202
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City | GRAND JUNCTION
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State | CO
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Zip | 81501-8858
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Country | US
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Telephone | 360-480-4513
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Fax |
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Provider Business Mailing Address
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Address Line | WELLINGTON 4 BUILDING, 2530 N 8TH ST UNIT 202
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City | GRAND JUNCTION
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State | CO
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Zip | 81501
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Country | US
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Telephone |
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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 | 103TC0700X
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Taxonomy Name | Clinical Psychologist
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License Number | PSY.0006289
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License Number State | CO
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Taxonomy #2
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Taxonomy Code | 103T00000X
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Taxonomy Name | Psychologist
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License Number | PSY.0006289
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License Number State | CO
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