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General NPI Number Information
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NPI Number | 1912841198
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Entity Type | Individual
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Provider Name | KRYSTLE LEIGH JUSTICE
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Gender | Female
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Dates
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Enumeration Date | 04/16/2026
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Last Update Date | 04/16/2026
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Provider Practice Location Address
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Address Line | 11705 MERCY BLVD
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City | SAVANNAH
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State | GA
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Zip | 31419-1791
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Country | US
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Telephone | 912-819-4100
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Fax |
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Provider Business Mailing Address
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Address Line | 3 SUNDANCE CT
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City | POOLER
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State | GA
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Zip | 31322-9320
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Country | US
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Telephone | 912-755-7012
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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 | 225200000X
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Taxonomy Name | Physical Therapy Assistant
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License Number | PTA003523
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License Number State | GA
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