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General NPI Number Information
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NPI Number | 1710377122
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Entity Type | Individual
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Provider Name | BETH ANN KRISHA M.S., ED.S.
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Gender | Female
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Dates
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Enumeration Date | 01/23/2015
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Last Update Date | 03/04/2015
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Provider Practice Location Address
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Address Line | 4542 BLUE RIDGE BLVD
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City | BLUE RIDGE
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State | VA
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Zip | 24064-1820
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Country | US
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Telephone | 540-977-2181
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Fax | 540-977-2183
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Provider Business Mailing Address
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Address Line | 411 PIN OAK DR
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City | BLUE RIDGE
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State | VA
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Zip | 24064-1261
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Country | US
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Telephone | 540-293-8006
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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 | 103TS0200X
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Taxonomy Name | School Psychologist
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License Number | 0803000248
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License Number State | VA
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