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General NPI Number Information
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NPI Number | 1679148605
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Entity Type | Individual
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Provider Name | CRYSTAL DUMAS MS, ALC
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Gender | Female
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Dates
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Enumeration Date | 05/21/2021
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Last Update Date | 03/10/2025
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Provider Practice Location Address
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Address Line | 904 E MAPLE ST
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City | ARLINGTON
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State | WA
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Zip | 98223-1634
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Country | US
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Telephone | 425-977-9220
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Fax |
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Provider Business Mailing Address
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Address Line | 5736 WILLIAMSBURG LN
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City | MONTGOMERY
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State | AL
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Zip | 36116-1014
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Country | US
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Telephone | 334-392-8460
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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 | 101Y00000X
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Taxonomy Name | Counselor
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License Number | C3731A
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License Number State | AL
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