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General NPI Number Information
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NPI Number | 1326367855
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Entity Type | Individual
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Provider Name | TRICIA KARVOUNIS LICSW, LCSW
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Gender | Female
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Dates
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Enumeration Date | 05/24/2010
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Last Update Date | 07/30/2021
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Provider Practice Location Address
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Address Line | 8570 GRANITE CT STE 101
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City | FORT MYERS
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State | FL
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Zip | 33908-4240
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Country | US
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Telephone | 239-310-4646
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Fax | 239-256-7516
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Provider Business Mailing Address
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Address Line | 8570 GRANITE CT STE 101
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City | FORT MYERS
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State | FL
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Zip | 33908-4240
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Country | US
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Telephone | 239-310-4646
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Fax | 239-256-7516
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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 | 1041C0700X
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Taxonomy Name | Clinical Social Worker
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License Number | 115214
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License Number State | MA
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Taxonomy #2
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Taxonomy Code | 1041C0700X
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Taxonomy Name | Clinical Social Worker
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License Number | LC13422
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License Number State | ME
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Taxonomy #3
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Taxonomy Code | 1041C0700X
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Taxonomy Name | Clinical Social Worker
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License Number | 17575
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License Number State | FL
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