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General NPI Number Information
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NPI Number | 1285438713
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Entity Type | Individual
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Provider Name | ANNA REBECCA CRAWLEY PMHNP-BC
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Gender | Female
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Dates
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Enumeration Date | 04/03/2025
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Last Update Date | 06/19/2025
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Provider Practice Location Address
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Address Line | 6135 PARK SOUTH DR STE 575
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City | CHARLOTTE
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State | NC
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Zip | 28210-3272
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Country | US
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Telephone | 919-618-3048
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Fax |
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Provider Business Mailing Address
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Address Line | 2524 BURKE SMOKEY CREEK RD
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City | LENOIR
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State | NC
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Zip | 28645-7302
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Country | US
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Telephone | 828-443-6317
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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 | 163WP0808X
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Taxonomy Name | Psychiatric/Mental Health Registered Nurse
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License Number | 313279
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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 | 5022435
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License Number State | NC
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