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General NPI Number Information
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NPI Number | 1992217707
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Entity Type | Individual
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Provider Name | KRISTINA ESTELLE SCANZANI-JOHNSON APRN
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Gender | Female
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Dates
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Enumeration Date | 11/02/2017
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Last Update Date | 10/27/2025
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Provider Practice Location Address
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Address Line | 1269 OLD EUCLID CTR
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City | BRISTOL
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State | VA
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Zip | 24201-3852
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Country | US
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Telephone | 276-494-0017
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Fax | 276-494-0109
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Provider Business Mailing Address
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Address Line | 722 ARLINGTON AVE
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City | BRISTOL
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State | VA
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Zip | 24201-3402
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Country | US
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Telephone | 843-801-2074
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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 | 207Q00000X
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Taxonomy Name | Family Medicine Physician
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License Number | 21401
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License Number State | SC
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Taxonomy #2
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Taxonomy Code | 363L00000X
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Taxonomy Name | Nurse Practitioner
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License Number | 37146
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License Number State | TN
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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 | 0024191470
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License Number State | VA
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