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General NPI Number Information
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NPI Number | 1194832329
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Entity Type | Individual
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Provider Name | BILLY DON CROW JR. CRNA
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Gender | Male
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Dates
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Enumeration Date | 08/24/2006
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Last Update Date | 03/22/2018
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Provider Practice Location Address
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Address Line | 2323 N OAK GROVE RD
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City | DRUMRIGHT
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State | OK
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Zip | 74030-5660
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Country | US
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Telephone | 918-549-5596
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Fax |
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Provider Business Mailing Address
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Address Line | 2323 N OAK GROVE RD
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City | DRUMRIGHT
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State | OK
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Zip | 74030-5660
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Country | US
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Telephone | 918-549-5596
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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 | CTP-000114
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License Number State | AR
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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 | R0082272
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License Number State | OK
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Taxonomy #3
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Taxonomy Code | 367500000X
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Taxonomy Name | Certified Registered Nurse Anesthetist
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License Number | CO280CRNA
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License Number State | AR
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