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General NPI Number Information
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NPI Number | 1538049200
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Entity Type | Organization
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Legal Business Name | ALCHEMY VEIN SPECIALISTS
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Dates
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Enumeration Date | 09/04/2025
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Last Update Date | 11/05/2025
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Provider Practice Location Address
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Address Line | 6830 HOSPITAL DR STE 110
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City | ROSEDALE
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State | MD
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Zip | 21237-4375
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Country | US
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Telephone | 202-539-4334
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Fax |
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Provider Business Mailing Address
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Address Line | 6830 HOSPITAL DR STE 110
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City | ROSEDALE
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State | MD
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Zip | 21237-4375
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Country | US
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Telephone | 202-539-4334
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Fax |
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Authorized Official
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Title or Position | PA-C
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Name | KRYSTAL ALCOTT
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Credential |
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Telephone | 202-539-4334
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 363A00000X
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Taxonomy Name | Physician Assistant
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License Number |
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License Number State |
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