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General NPI Number Information
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NPI Number | 1710618061
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Entity Type | Individual
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Provider Name | TEDDI KRIEGSMAN RMHCI
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Gender | Female
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Dates
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Enumeration Date | 06/17/2022
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Last Update Date | 01/06/2025
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Provider Practice Location Address
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Address Line | 15311 CORTEZ BLVD
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City | BROOKSVILLE
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State | FL
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Zip | 34613-6005
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Country | US
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Telephone | 352-540-9335
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Fax | 352-467-7157
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Provider Business Mailing Address
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Address Line | 38223 FALLSTONE WAY
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City | ZEPHYRHILLS
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State | FL
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Zip | 33542-5984
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Country | US
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Telephone | 860-806-6345
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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 | 101YP2500X
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Taxonomy Name | Professional Counselor
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License Number | 4834
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License Number State | CT
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Taxonomy #2
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Taxonomy Code | 101YM0800X
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Taxonomy Name | Mental Health Counselor
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License Number | IMH25735
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License Number State | FL
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