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General NPI Number Information
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NPI Number | 1891353561
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Entity Type | Individual
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Provider Name | KRYSTAL NICHOLE TRUMP DO
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Gender | Female
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Dates
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Enumeration Date | 05/29/2019
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Last Update Date | 02/07/2025
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Provider Practice Location Address
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Address Line | 2509 PLEASANT RUN DR
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City | HARRISONBURG
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State | VA
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Zip | 22801-8720
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Country | US
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Telephone | 540-689-5500
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Fax | 757-431-7116
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Provider Business Mailing Address
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Address Line | 2509 PLEASANT RUN DR
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City | HARRISONBURG
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State | VA
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Zip | 22801-8720
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Country | US
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Telephone | 540-689-5500
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Fax | 757-431-7116
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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 | 207QS0010X
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Taxonomy Name | Sports Medicine (Family Medicine) Physician
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License Number | 0102207779
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License Number State | VA
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