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General NPI Number Information
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NPI Number | 1902588254
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Entity Type | Individual
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Provider Name | CRYSTAL E TAYLOR LPN
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Gender | Female
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Dates
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Enumeration Date | 08/07/2023
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Last Update Date | 04/30/2025
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Provider Practice Location Address
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Address Line | 329 OFFICE SQUARE LN STE 100
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City | VIRGINIA BEACH
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State | VA
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Zip | 23462-3653
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Country | US
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Telephone | 757-798-4772
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Fax | 757-765-5590
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Provider Business Mailing Address
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Address Line | 1017 MARIETTA AVE
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City | NORFOLK
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State | VA
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Zip | 23513-3105
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Country | US
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Telephone | 757-718-3555
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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 | 164W00000X
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Taxonomy Name | Licensed Practical Nurse
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License Number | 0002093319
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License Number State | VA
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