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General NPI Number Information
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NPI Number | 1306951983
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Entity Type | Individual
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Provider Name | CRYSTAL MICHELLE HEIGHT APRN-BC, NP, BCBA
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Gender | Female
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Dates
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Enumeration Date | 08/21/2006
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Last Update Date | 05/24/2009
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Provider Practice Location Address
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Address Line | 702 W 47TH ST
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City | SAVANNAH
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State | GA
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Zip | 31405-1772
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Country | US
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Telephone | 912-507-1553
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Fax | 912-443-9004
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Provider Business Mailing Address
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Address Line | 702 W 47TH ST
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City | SAVANNAH
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State | GA
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Zip | 31405-1772
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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 | 363LA2200X
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Taxonomy Name | Adult Health Nurse Practitioner
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License Number | RN 141187 NP
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License Number State | GA
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Taxonomy #2
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Taxonomy Code | 103K00000X
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Taxonomy Name | Behavior Analyst
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License Number | 1-09-5068
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License Number State |
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