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General NPI Number Information
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NPI Number | 1184420135
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Entity Type | Individual
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Provider Name | KRISTA REBECCA PEREZ APRN
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Gender | Female
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Dates
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Enumeration Date | 02/20/2025
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Last Update Date | 04/04/2025
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Provider Practice Location Address
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Address Line | 8400 RED BUG LAKE RD STE 2080
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City | OVIEDO
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State | FL
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Zip | 32765-6835
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Country | US
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Telephone | 833-769-3524
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Fax |
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Provider Business Mailing Address
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Address Line | 9505 AXIS WAY APT 308
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City | ORLANDO
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State | FL
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Zip | 32837-6006
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Country | US
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Telephone | 850-902-4411
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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 | 363LP0808X
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Taxonomy Name | Psychiatric/Mental Health Nurse Practitioner
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License Number | APRN11037827
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License Number State | FL
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