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General NPI Number Information
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NPI Number | 1821580044
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Entity Type | Individual
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Provider Name | CRYSTAL KAY YOUNG CRNP-F
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Gender | Female
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Dates
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Enumeration Date | 06/04/2018
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Last Update Date | 12/03/2024
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Provider Practice Location Address
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Address Line | 1101 WILSON BLVD FL 6
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City | ARLINGTON
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State | VA
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Zip | 22209-2281
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Country | US
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Telephone | 888-731-8994
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Fax |
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Provider Business Mailing Address
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Address Line | PO BOX 105
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City | KEEDYSVILLE
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State | MD
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Zip | 21756-0105
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Country | US
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Telephone | 301-660-7244
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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 | 363LF0000X
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Taxonomy Name | Family Nurse Practitioner
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License Number | 0024178861
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License Number State | VA
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Taxonomy #2
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Taxonomy Code | 363LF0000X
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Taxonomy Name | Family Nurse Practitioner
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License Number | R199247
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License Number State | MD
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