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General NPI Number Information
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NPI Number | 1811677636
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Entity Type | Individual
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Provider Name | KRISTEL BYRD LCSW
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Gender | Female
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Dates
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Enumeration Date | 07/18/2023
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Last Update Date | 07/18/2023
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Provider Practice Location Address
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Address Line | 5250 CHEROKEE AVE STE 305
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City | ALEXANDRIA
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State | VA
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Zip | 22312-2052
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Country | US
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Telephone | 703-349-5133
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Fax |
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Provider Business Mailing Address
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Address Line | 563 WHITLEY RIDGE DR
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City | CLAYTON
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State | NC
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Zip | 27527-8645
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Country | US
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Telephone | 757-759-0953
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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 | 1041C0700X
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Taxonomy Name | Clinical Social Worker
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License Number | 0904015578
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License Number State | VA
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