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General NPI Number Information
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NPI Number | 1053104463
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Entity Type | Organization
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Legal Business Name | KRISTINE CARES LLC
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Dates
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Enumeration Date | 05/28/2025
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Last Update Date | 05/28/2025
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Provider Practice Location Address
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Address Line | 7420 ALBAN STATION BLVD STE B206
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City | SPRINGFIELD
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State | VA
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Zip | 22150-2322
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Country | US
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Telephone | 571-210-3001
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Fax |
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Provider Business Mailing Address
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Address Line | 12364 SILENT WOLF DR
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City | MANASSAS
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State | VA
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Zip | 20112-7524
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Country | US
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Telephone |
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Fax |
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Authorized Official
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Title or Position | OWNER / ADMINISTRATOR
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Name | KRISTINE G DUMAS
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Credential |
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Telephone | 571-210-3001
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 251J00000X
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Taxonomy Name | Nursing Care Agency
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License Number |
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License Number State |
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