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General NPI Number Information
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NPI Number | 1275599755
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Entity Type | Individual
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Provider Name | STEVEN CRUM MD
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Gender | Male
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Dates
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Enumeration Date | 04/25/2006
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Last Update Date | 12/28/2011
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Provider Practice Location Address
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Address Line | 4 HMB CIR
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City | FRANKFORT
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State | KY
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Zip | 40601-5376
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Country | US
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Telephone | 502-695-7725
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Fax |
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Provider Business Mailing Address
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Address Line | PO BOX 4168
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City | FRANKFORT
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State | KY
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Zip | 40604-4168
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Country | US
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Telephone | 502-223-5811
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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 | 207Q00000X
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Taxonomy Name | Family Medicine Physician
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License Number | 31044
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License Number State | KY
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