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General NPI Number Information
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NPI Number | 1063195725
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Entity Type | Individual
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Provider Name | EMMA HARDY CROWE AGNP-C
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Gender | Female
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Dates
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Enumeration Date | 08/09/2023
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Last Update Date | 02/18/2025
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Provider Practice Location Address
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Address Line | 803 1ST ST
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City | CLEVELAND
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State | MS
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Zip | 38732-2397
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Country | US
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Telephone | 662-843-2721
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Fax |
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Provider Business Mailing Address
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Address Line | 322 LAUGHLIN RD
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City | CLEVELAND
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State | MS
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Zip | 38732-9550
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Country | US
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Telephone | 662-588-1037
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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 | 163W00000X
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Taxonomy Name | Registered Nurse
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License Number | 921178
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License Number State | MS
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Taxonomy #2
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Taxonomy Code | 363LG0600X
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Taxonomy Name | Gerontology Nurse Practitioner
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License Number | 907085
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License Number State | MS
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