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General NPI Number Information
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NPI Number | 1144516170
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Entity Type | Individual
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Provider Name | CRYSTAL NICOLE CAMPBELL CRNA
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Gender | Female
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Dates
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Enumeration Date | 06/28/2011
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Last Update Date | 12/09/2025
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Provider Practice Location Address
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Address Line | 6043 WINTHROP COMMERCE AVE STE 101
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City | RIVERVIEW
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State | FL
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Zip | 33578
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Country | US
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Telephone | 813-699-1200
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Fax |
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Provider Business Mailing Address
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Address Line | 400 N ASHLEY DR STE 1625
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City | TAMPA
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State | FL
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Zip | 33602-4395
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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 | 367500000X
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Taxonomy Name | Certified Registered Nurse Anesthetist
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License Number | 209033712
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License Number State | IL
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Taxonomy #2
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Taxonomy Code | 367500000X
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Taxonomy Name | Certified Registered Nurse Anesthetist
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License Number | ARNP9227163
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License Number State | FL
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