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General NPI Number Information
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NPI Number | 1841845906
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Entity Type | Individual
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Provider Name | KRISTOFER ROUNSVILLE
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Gender | Male
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Dates
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Enumeration Date | 08/06/2019
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Last Update Date | 06/27/2024
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Provider Practice Location Address
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Address Line | 9221 ROBERT HART DR
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City | DANSVILLE
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State | NY
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Zip | 14437-8931
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Country | US
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Telephone | 585-335-4316
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Fax | 585-335-3577
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Provider Business Mailing Address
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Address Line | 6302 MCNEIL RD
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City | DANSVILLE
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State | NY
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Zip | 14437-9024
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Country | US
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Telephone | 585-474-0440
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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 | 011974
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License Number State | NY
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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 |
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License Number State | NY
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