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General NPI Number Information
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NPI Number | 1114518776
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Entity Type | Individual
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Provider Name | CRYSTAL ANN BARNJUM MSN, ARNP
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Gender | Female
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Dates
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Enumeration Date | 01/27/2021
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Last Update Date | 01/12/2025
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Provider Practice Location Address
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Address Line | 3100 E FLETCHER AVE
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City | TAMPA
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State | FL
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Zip | 33613-4613
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Country | US
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Telephone | 813-467-4770
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Fax | 813-467-4243
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Provider Business Mailing Address
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Address Line | 501 6TH AVE S
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City | ST PETERSBURG
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State | FL
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Zip | 33701-4634
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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 | 363LN0005X
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Taxonomy Name | Critical Care Neonatal Nurse Practitioner
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License Number | AP61134914
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License Number State | WA
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Taxonomy #2
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Taxonomy Code | 363LN0000X
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Taxonomy Name | Neonatal Nurse Practitioner
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License Number | APRN11013654
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License Number State | FL
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