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NPI 1649116245

NPI 1649116245 : MS. KRISTEN RENEE CARPIO : WEST MELBOURNE, FL

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General NPI Number Information
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    NPI Number           |    1649116245
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    Entity Type          |    Individual 
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    Provider Name        |    MS. KRISTEN RENEE CARPIO
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    Gender               |    Female 
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Dates
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    Enumeration Date     |    04/27/2026
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    Last Update Date     |    04/27/2026
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Provider Practice Location Address
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    Address Line         |    1924 DAIRY RD 
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    City                 |    WEST MELBOURNE
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    State                |    FL
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    Zip                  |    32904-4046
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    Country              |    US
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    Telephone            |    321-256-8000
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    Fax                  |    
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Provider Business Mailing Address
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    Address Line         |    5635 S HWY A1A APT 401 
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    City                 |    MELBOURNE BEACH
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    State                |    FL
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    Zip                  |    32951-3336
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    Country              |    US
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    Telephone            |    321-256-8000
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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        |    101YM0800X
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    Taxonomy Name        |    Mental Health Counselor
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    License Number       |    
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    License Number State |    NM
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