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General NPI Number Information
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NPI Number | 1295043990
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Entity Type | Individual
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Provider Name | KAREN CRIDER PSYS, LLP
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Gender | Female
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Dates
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Enumeration Date | 09/16/2010
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Last Update Date | 06/10/2014
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Provider Practice Location Address
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Address Line | 1932 NADINE RD APT 206
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City | WESLEY CHAPEL
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State | FL
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Zip | 33544-4939
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Country | US
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Telephone | 813-406-5586
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Fax |
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Provider Business Mailing Address
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Address Line | 1932 NADINE RD APT 206
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City | WESLEY CHAPEL
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State | FL
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Zip | 33544-4939
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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 | 6301013983
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License Number State | MI
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