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General NPI Number Information
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NPI Number | 1063965978
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Entity Type | Individual
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Provider Name | CRYSTAL ADODO ORAMADIKE FNP
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Gender | Female
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Dates
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Enumeration Date | 07/27/2016
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Last Update Date | 12/04/2025
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Provider Practice Location Address
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Address Line | 698 FAIRVIEW RD
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City | SIMPSONVILLE
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State | SC
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Zip | 29680-6708
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Country | US
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Telephone | 866-389-2727
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Fax |
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Provider Business Mailing Address
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Address Line | 7513 HAWK CREST DR
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City | FULSHEAR
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State | TX
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Zip | 77441-2560
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Country | US
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Telephone |
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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 | AP131092
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License Number State | TX
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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 | SP030382
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License Number State | PA
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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 | 283632
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License Number State | AZ
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Taxonomy #4
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Taxonomy Code | 363LF0000X
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Taxonomy Name | Family Nurse Practitioner
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License Number | 0024186614
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License Number State | VA
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