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General NPI Number Information
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NPI Number | 1316428329
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Entity Type | Individual
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Provider Name | CRYSTAL ANN ABLE
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Gender | Female
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Dates
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Enumeration Date | 08/27/2018
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Last Update Date | 08/27/2018
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Provider Practice Location Address
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Address Line | 502 CLAUSON RD
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City | RICHMOND
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State | VA
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Zip | 23227-1204
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Country | US
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Telephone | 804-266-5271
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Fax |
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Provider Business Mailing Address
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Address Line | 3262 MEADOWDALE BLVD
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City | NORTH CHESTERFIELD
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State | VA
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Zip | 23234-6354
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Country | US
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Telephone | 804-298-0897
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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 | 374U00000X
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Taxonomy Name | Home Health Aide
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License Number |
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License Number State |
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