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General NPI Number Information
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NPI Number | 1063005262
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Entity Type | Individual
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Provider Name | CARINNE CROUSE APRN
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Gender | Female
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Dates
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Enumeration Date | 02/18/2021
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Last Update Date | 05/13/2025
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Provider Practice Location Address
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Address Line | 4271 W 3RD ST
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City | DAYTON
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State | OH
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Zip | 45417-1406
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Country | US
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Telephone | 937-971-7031
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Fax | 937-949-5839
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Provider Business Mailing Address
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Address Line | 5200 E STATE ROUTE 73
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City | WAYNESVILLE
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State | OH
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Zip | 45068-7539
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Country | US
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Telephone | 850-714-1713
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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 | APRN.CNP0028237
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License Number State | OH
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