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General NPI Number Information
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NPI Number | 1093212342
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Entity Type | Individual
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Provider Name | ERIC TUCKER CRAMPSEY CRNP
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Gender | Male
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Dates
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Enumeration Date | 04/11/2018
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Last Update Date | 10/31/2018
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Provider Practice Location Address
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Address Line | 68 MARCO DR
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City | DECATUR
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State | AL
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Zip | 35603-5425
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Country | US
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Telephone | 256-973-5650
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Fax | 256-686-4936
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Provider Business Mailing Address
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Address Line | 47 COUNTY ROAD 600
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City | MOULTON
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State | AL
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Zip | 35650-5104
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Country | US
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Telephone | 256-565-3221
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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 | 363L00000X
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Taxonomy Name | Nurse Practitioner
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License Number | 1-151783
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License Number State | AL
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