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General NPI Number Information
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NPI Number | 1104662501
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Entity Type | Individual
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Provider Name | CRYSTAL DAWN MEADOWS
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Gender | Female
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Dates
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Enumeration Date | 07/04/2024
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Last Update Date | 08/28/2025
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Provider Practice Location Address
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Address Line | 132 FRANKLIN SPRINGS ST
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City | ROYSTON
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State | GA
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Zip | 30662-4134
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Country | US
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Telephone | 706-621-7555
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Fax | 706-621-7557
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Provider Business Mailing Address
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Address Line | 1061 DOWDY RD STE 204
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City | ATHENS
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State | GA
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Zip | 30606-5700
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Country | US
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Telephone | 67-621-7555
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Fax | 706-621-7557
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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 | RN214029
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License Number State | GA
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