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General NPI Number Information
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NPI Number | 1053601567
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Entity Type | Individual
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Provider Name | STEPHANIE CRAWFORD DNP, APRN
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Gender | Female
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Dates
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Enumeration Date | 04/18/2011
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Last Update Date | 06/11/2024
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Provider Practice Location Address
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Address Line | 446 ROBINHOOD LN
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City | HARDY
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State | AR
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Zip | 72542-9032
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Country | US
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Telephone | 815-262-6518
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Fax |
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Provider Business Mailing Address
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Address Line | 6834 CANTRELL RD # 1437
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City | LITTLE ROCK
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State | AR
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Zip | 72207-4135
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Country | US
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Telephone | 815-262-6518
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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 | 363LF0000X
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Taxonomy Name | Family Nurse Practitioner
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License Number | 277000063
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License Number State | IL
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Taxonomy #2
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Taxonomy Code | 363LA2200X
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Taxonomy Name | Adult Health Nurse Practitioner
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License Number | 277000063
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License Number State | IL
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