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General NPI Number Information
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NPI Number | 1467045815
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Entity Type | Individual
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Provider Name | KRYSTAL DAWKINS
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Gender | Female
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Dates
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Enumeration Date | 02/17/2021
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Last Update Date | 10/30/2025
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Provider Practice Location Address
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Address Line | 3495 PIEDMONT RD NE BUILDING 11, STE 121
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City | ATLANTA
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State | GA
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Zip | 30305-1763
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Country | US
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Telephone | 212-696-1550
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Fax |
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Provider Business Mailing Address
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Address Line | 3495 PIEDMONT RD NE BUILDING 11, STE 121
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City | ATLANTA
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State | GA
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Zip | 30305-1763
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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 | 163WP0200X
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Taxonomy Name | Pediatric Registered Nurse
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License Number | 802495
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License Number State | NY
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Taxonomy #2
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Taxonomy Code | 363LP0808X
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Taxonomy Name | Psychiatric/Mental Health Nurse Practitioner
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License Number | 404188
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License Number State | NY
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