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General NPI Number Information
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NPI Number | 1598405888
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Entity Type | Individual
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Provider Name | KRYSTAL ELIZABETH TINNEY MD
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Gender | Female
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Dates
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Enumeration Date | 04/01/2022
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Last Update Date | 08/06/2025
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Provider Practice Location Address
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Address Line | 200 MEMORIAL AVE
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City | WESTMINSTER
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State | MD
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Zip | 21157-5726
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Country | US
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Telephone | 410-848-3000
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Fax |
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Provider Business Mailing Address
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Address Line | 122 KELHIGH DR
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City | CHAMBERSBURG
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State | PA
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Zip | 17201-8004
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Country | US
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Telephone | 210-844-5483
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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 | 207P00000X
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Taxonomy Name | Emergency Medicine Physician
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License Number | D0104459
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License Number State | MD
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