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General NPI Number Information
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NPI Number | 1205416112
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Entity Type | Individual
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Provider Name | KRISTINA AKOPIAN PSYD
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Gender | Female
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Dates
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Enumeration Date | 04/13/2021
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Last Update Date | 04/14/2021
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Provider Practice Location Address
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Address Line | 125 N WILLOW ST STE B
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City | KENAI
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State | AK
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Zip | 99611-7702
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Country | US
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Telephone | 661-347-6524
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Fax |
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Provider Business Mailing Address
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Address Line | 12200 LINCOLNSHIRE DR
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City | BAKERSFIELD
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State | CA
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Zip | 93311-9582
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Country | US
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Telephone | 818-731-9027
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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 | PSY31112
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License Number State | CA
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Taxonomy #2
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Taxonomy Code | 103TF0200X
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Taxonomy Name | Forensic Psychologist
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License Number | 155806
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License Number State | AK
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Taxonomy #3
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Taxonomy Code | 103TF0200X
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Taxonomy Name | Forensic Psychologist
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License Number | PSY31112
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License Number State | CA
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