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General NPI Number Information
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NPI Number | 1962225680
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Entity Type | Organization
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Legal Business Name | KRIO MIND LLC
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Dates
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Enumeration Date | 11/01/2024
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Last Update Date | 08/18/2025
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Provider Practice Location Address
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Address Line | 1 CENTRE ST FL 3
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City | BROCKTON
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State | MA
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Zip | 02301-4092
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Country | US
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Telephone | 800-735-8951
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Fax |
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Provider Business Mailing Address
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Address Line | 26 MASON ST APT 2
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City | TAUNTON
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State | MA
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Zip | 02780-4127
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Country | US
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Telephone | 800-735-8951
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Fax |
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Authorized Official
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Title or Position | OWNER
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Name | LILIAN SILVA
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Credential |
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Telephone | 800-735-8951
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 363LP0808X
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Taxonomy Name | Psychiatric/Mental Health Nurse Practitioner
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License Number |
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License Number State |
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