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General NPI Number Information
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NPI Number | 1093291882
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Entity Type | Individual
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Provider Name | KILANI KRISTEN GASTON DPT
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Gender | Female
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Dates
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Enumeration Date | 07/14/2018
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Last Update Date | 08/11/2025
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Provider Practice Location Address
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Address Line | 298 NAT TURNER BLVD S
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City | NEWPORT NEWS
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State | VA
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Zip | 23606-3074
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Country | US
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Telephone | 757-596-1900
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Fax | 866-420-0168
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Provider Business Mailing Address
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Address Line | 1991 FORDHAM DR STE 102
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City | FAYETTEVILLE
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State | NC
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Zip | 28304-3774
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Country | US
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Telephone | 910-484-4653
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Fax | 910-483-9256
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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 | 225100000X
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Taxonomy Name | Physical Therapist
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License Number | PTL.0017948
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License Number State | CO
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Taxonomy #2
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Taxonomy Code | 225100000X
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Taxonomy Name | Physical Therapist
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License Number | CP014581T
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License Number State | GA
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Taxonomy #3
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Taxonomy Code | 225100000X
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Taxonomy Name | Physical Therapist
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License Number | 70027817
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License Number State | IL
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Taxonomy #4
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Taxonomy Code | 225100000X
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Taxonomy Name | Physical Therapist
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License Number | CP034812T
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License Number State | NC
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Taxonomy #5
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Taxonomy Code | 225100000X
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Taxonomy Name | Physical Therapist
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License Number | CP034812T
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License Number State | VA
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