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General NPI Number Information
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NPI Number | 1265320550
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Entity Type | Individual
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Provider Name | KRISTINA NICOLE MULLINS AU.D.
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Gender | Female
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Dates
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Enumeration Date | 06/25/2025
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Last Update Date | 06/25/2025
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Provider Practice Location Address
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Address Line | 70 KNELLS RIDGE BLVD
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City | CHESAPEAKE
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State | VA
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Zip | 23320
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Country | US
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Telephone | 855-679-0074
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Fax |
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Provider Business Mailing Address
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Address Line | 1838 HABERDASHER PL
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City | VIRGINIA BEACH
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State | VA
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Zip | 23464-6383
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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 |
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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 | 231H00000X
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Taxonomy Name | Audiologist
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License Number | 2201002029
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License Number State | VA
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