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General NPI Number Information
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NPI Number | 1639601461
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Entity Type | Organization
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Legal Business Name | KRYSTAL NOWAK PSYCHOLOGY LLC
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Dates
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Enumeration Date | 03/30/2017
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Last Update Date | 03/30/2017
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Provider Practice Location Address
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Address Line | 4920 MILLRIDGE PKWY E SUITE 206
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City | MIDLOTHIAN
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State | VA
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Zip | 23112-4857
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Country | US
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Telephone | 804-719-1955
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Fax |
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Provider Business Mailing Address
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Address Line | 4920 MILLRIDGE PKWY E SUITE 206
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City | MIDLOTHIAN
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State | VA
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Zip | 23112-4857
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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 | LICENSED CLINICAL PSYCHOLOGIST
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Name | DR. KRYSTAL STUDIVANT NOWAK
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Credential | PSY.D.
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Telephone | 804-719-1955
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 103TC0700X
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Taxonomy Name | Clinical Psychologist
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License Number | 0810005486
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License Number State | VA
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