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General NPI Number Information
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NPI Number | 1881434710
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Entity Type | Individual
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Provider Name | KRYSTAL LAWSON
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Gender | Female
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Dates
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Enumeration Date | 05/29/2024
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Last Update Date | 02/11/2025
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Provider Practice Location Address
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Address Line | 54 SPEC MINE RD
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City | BUCHANAN
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State | VA
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Zip | 24066-5151
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Country | US
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Telephone | 540-309-4116
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Fax |
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Provider Business Mailing Address
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Address Line | 54 SPEC MINE RD
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City | BUCHANAN
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State | VA
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Zip | 24066-5151
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Country | US
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Telephone | 540-339-8483
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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 | 374J00000X
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Taxonomy Name | Doula
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License Number | 4475
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License Number State | VA
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