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General NPI Number Information
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NPI Number | 1134285448
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Entity Type | Individual
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Provider Name | RUTH CROSBY WALKUP PMHNP-BC, FNP-BC
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Gender | Female
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Dates
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Enumeration Date | 12/29/2006
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Last Update Date | 12/03/2025
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Provider Practice Location Address
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Address Line | 3440 TORINGDON WAY STE 205
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City | CHARLOTTE
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State | NC
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Zip | 28277-3191
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Country | US
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Telephone | 980-375-6657
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Fax | 980-375-6658
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Provider Business Mailing Address
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Address Line | 7369 SHERIDAN ST STE 203
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City | HOLLYWOOD
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State | FL
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Zip | 33024-2776
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Country | US
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Telephone | 984-283-0333
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Fax | 984-283-0433
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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 | 5004036
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License Number State | NC
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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 | 5004036
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License Number State | NC
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Taxonomy #3
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Taxonomy Code | 363LF0000X
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Taxonomy Name | Family Nurse Practitioner
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License Number | 2561
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License Number State | SC
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