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General NPI Number Information
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NPI Number | 1447812961
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Entity Type | Individual
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Provider Name | CRYSTAL HAYES APRN, CNP
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Gender | Female
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Dates
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Enumeration Date | 07/04/2019
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Last Update Date | 11/03/2025
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Provider Practice Location Address
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Address Line | 108 WASHINGTON ST W STE 11
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City | CHARLESTON
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State | WV
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Zip | 25302-2344
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Country | US
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Telephone | 304-488-0768
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Fax |
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Provider Business Mailing Address
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Address Line | 1100 19TH ST APT 6
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City | VIENNA
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State | WV
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Zip | 26105-1264
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Country | US
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Telephone | 304-488-0768
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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 | 363LF0000X
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Taxonomy Name | Family Nurse Practitioner
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License Number | 1850849
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License Number State | OH
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