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General NPI Number Information
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NPI Number | 1639749914
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Entity Type | Individual
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Provider Name | KRYSTEL TONIQUE STOKES
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Gender | Female
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Dates
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Enumeration Date | 06/29/2021
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Last Update Date | 09/21/2022
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Provider Practice Location Address
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Address Line | 825 WALES DR
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City | HENRICO
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State | VA
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Zip | 23075-1533
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Country | US
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Telephone | 804-495-9266
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Fax |
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Provider Business Mailing Address
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Address Line | 825 WALES DR
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City | HENRICO
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State | VA
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Zip | 23075-1533
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Country | US
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Telephone | 804-495-9266
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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 | 164W00000X
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Taxonomy Name | Licensed Practical Nurse
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License Number | 0002096744
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License Number State | VA
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Taxonomy #2
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Taxonomy Code | 163W00000X
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Taxonomy Name | Registered Nurse
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License Number | 0001310536
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License Number State | VA
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