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General NPI Number Information
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NPI Number | 1982161337
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Entity Type | Individual
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Provider Name | CRYSTAL JOHANNA REBECCA NAVARRO NP
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Gender | Female
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Dates
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Enumeration Date | 02/21/2019
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Last Update Date | 01/24/2025
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Provider Practice Location Address
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Address Line | 549 E BRAMBLETON AVE
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City | NORFOLK
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State | VA
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Zip | 23510-2905
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Country | US
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Telephone | 757-393-1136
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Fax | 757-533-9441
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Provider Business Mailing Address
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Address Line | 549 E BRAMBLETON AVE
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City | NORFOLK
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State | VA
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Zip | 23510-2905
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Country | US
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Telephone | 757-393-1136
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Fax | 757-533-9441
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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 | 163W00000X
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Taxonomy Name | Registered Nurse
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License Number | 95091676
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License Number State | CA
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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 | 95011971
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License Number State | CA
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Taxonomy #3
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Taxonomy Code | 363LF0000X
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Taxonomy Name | Family Nurse Practitioner
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License Number | 0024183153
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License Number State | VA
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