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General NPI Number Information
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NPI Number | 1316308794
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Entity Type | Individual
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Provider Name | CATHERINE CROSBY APRN
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Gender | Female
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Dates
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Enumeration Date | 03/14/2016
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Last Update Date | 10/21/2025
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Provider Practice Location Address
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Address Line | 1801 OLD TROLLEY RD STE 200
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City | SUMMERVILLE
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State | SC
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Zip | 29485-8283
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Country | US
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Telephone | 843-781-0075
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Fax | 854-222-9097
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Provider Business Mailing Address
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Address Line | 1801 OLD TROLLEY RD STE 200
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City | SUMMERVILLE
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State | SC
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Zip | 29485-8283
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Country | US
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Telephone | 843-781-0075
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Fax | 854-222-9097
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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 | 363LF0000X
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Taxonomy Name | Family Nurse Practitioner
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License Number | 20004
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License Number State | SC
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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 | 20001
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License Number State | SC
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Taxonomy #3
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Taxonomy Code | 363LX0001X
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Taxonomy Name | Obstetrics & Gynecology Nurse Practitioner
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License Number | 20004
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License Number State | SC
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