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General NPI Number Information
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NPI Number | 1144531658
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Entity Type | Organization
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Legal Business Name | CROWDER FAMILY HEALTHCARE
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Dates
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Enumeration Date | 06/30/2010
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Last Update Date | 06/30/2010
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Provider Practice Location Address
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Address Line | 211 EAST MCMURRY BLVD.
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City | HARTSVILLE
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State | TN
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Zip | 37074
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Country | US
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Telephone | 615-374-4700
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Fax | 615-374-4131
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Provider Business Mailing Address
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Address Line | 211 EAST MCMURRY BLVD.
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City | HARTSVILLE
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State | TN
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Zip | 37074
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Country | US
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Telephone | 615-374-4700
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Fax | 615-374-4131
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Authorized Official
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Title or Position | BILLER/CODER
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Name | JESSICA HARPER
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Credential |
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Telephone | 615-374-4700
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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 | 113595
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License Number State | TN
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