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General NPI Number Information
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NPI Number | 1114696994
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Entity Type | Individual
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Provider Name | JAMIE LEE CRAWFORD ARNP
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Gender | Female
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Dates
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Enumeration Date | 09/07/2021
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Last Update Date | 12/04/2025
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Provider Practice Location Address
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Address Line | 3955 156TH ST NE
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City | MARYSVILLE
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State | WA
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Zip | 98271-4831
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Country | US
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Telephone | 360-651-6400
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Fax |
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Provider Business Mailing Address
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Address Line | 670 F ST
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City | BLAINE
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State | WA
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Zip | 98230-5128
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Country | US
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Telephone | 509-759-6872
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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 | 363LP0808X
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Taxonomy Name | Psychiatric/Mental Health Nurse Practitioner
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License Number | AP70075213
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License Number State | WA
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Taxonomy #2
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Taxonomy Code | 163W00000X
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Taxonomy Name | Registered Nurse
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License Number | RN60507073
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License Number State | WA
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