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General NPI Number Information
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NPI Number | 1629935549
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Entity Type | Individual
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Provider Name | KRYSTAL SEALE
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Gender | Female
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Dates
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Enumeration Date | 01/05/2026
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Last Update Date | 01/05/2026
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Provider Practice Location Address
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Address Line | 3150 CUSTER DR STE 202
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City | LEXINGTON
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State | KY
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Zip | 40517-4010
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Country | US
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Telephone | 502-219-3488
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Fax |
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Provider Business Mailing Address
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Address Line | 3136 HIGH RIDGE DR
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City | LEXINGTON
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State | KY
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Zip | 40517-4052
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Country | US
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Telephone | 859-771-0000
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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 | 106H00000X
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Taxonomy Name | Marriage & Family Therapist
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License Number | 304576
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License Number State | KY
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