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General NPI Number Information
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NPI Number | 1306250899
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Entity Type | Individual
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Provider Name | KRYSTA JOY MICHAEL O'NEILL D.C.
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Gender | Female
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Dates
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Enumeration Date | 06/12/2014
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Last Update Date | 04/17/2020
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Provider Practice Location Address
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Address Line | 618 EQUESTRIAN LN
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City | LEWISBURG
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State | PA
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Zip | 17837-6647
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Country | US
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Telephone | 717-725-8262
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Fax |
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Provider Business Mailing Address
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Address Line | 766 LITITZ PIKE
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City | LITITZ
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State | PA
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Zip | 17543-7314
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Country | US
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Telephone | 717-627-0365
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Fax | 717-627-0383
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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 | 111N00000X
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Taxonomy Name | Chiropractor
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License Number | DC010894
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License Number State | PA
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