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General NPI Number Information
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NPI Number | 1962047209
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Entity Type | Individual
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Provider Name | KRYSTAL ANN MYERS RCSWI
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Gender | Female
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Dates
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Enumeration Date | 11/11/2019
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Last Update Date | 08/27/2020
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Provider Practice Location Address
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Address Line | 2345 SAND LAKE RD
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City | ORLANDO
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State | FL
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Zip | 32809-9142
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Country | US
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Telephone | 937-371-9439
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Fax |
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Provider Business Mailing Address
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Address Line | 2345 SAND LAKE RD
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City | ORLANDO
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State | FL
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Zip | 32809-9142
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Country | US
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Telephone | 937-371-9439
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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 | 1041C0700X
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Taxonomy Name | Clinical Social Worker
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License Number | ISW13042
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License Number State | FL
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