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General NPI Number Information
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NPI Number | 1093606576
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Entity Type | Individual
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Provider Name | ALICIA CREWS PMHNP
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Gender | Female
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Dates
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Enumeration Date | 07/11/2025
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Last Update Date | 12/21/2025
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Provider Practice Location Address
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Address Line | 671 WINYAH DR
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City | ORLANDO
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State | FL
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Zip | 32803-1226
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Country | US
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Telephone | 386-272-2913
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Fax | 386-590-9186
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Provider Business Mailing Address
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Address Line | 944 DELTONA BLVD UNIT 5196
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City | DELTONA
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State | FL
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Zip | 32728-7410
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Country | US
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Telephone | 386-272-2913
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Fax | 386-590-9186
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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 | 363LP0808X
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Taxonomy Name | Psychiatric/Mental Health Nurse Practitioner
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License Number | APRN11041057
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License Number State | FL
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Taxonomy #2
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Taxonomy Code | 363LP0808X
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Taxonomy Name | Psychiatric/Mental Health Nurse Practitioner
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License Number | 2771171
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License Number State | ID
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