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General NPI Number Information
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NPI Number | 1679540231
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Entity Type | Individual
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Provider Name | KRISTIN HUYSMAN GRABILL PA C
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Gender | Female
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Dates
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Enumeration Date | 03/02/2006
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Last Update Date | 04/03/2025
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Provider Practice Location Address
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Address Line | 1933 EDWIN DR STE 208
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City | CHESAPEAKE
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State | VA
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Zip | 23322-6531
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Country | US
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Telephone | 757-252-5820
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Fax | 757-963-9609
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Provider Business Mailing Address
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Address Line | 1933 EDWIN DR STE 208
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City | CHESAPEAKE
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State | VA
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Zip | 23322-6531
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Country | US
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Telephone | 757-252-5820
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Fax | 757-963-9609
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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 | 363A00000X
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Taxonomy Name | Physician Assistant
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License Number | 0110001726
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License Number State | VA
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