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General NPI Number Information
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NPI Number | 1326212150
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Entity Type | Individual
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Provider Name | LAURA M. CRUMP M.D.
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Gender | Female
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Dates
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Enumeration Date | 04/14/2008
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Last Update Date | 07/29/2011
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Provider Practice Location Address
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Address Line | 1221 S BROADWAY
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City | LEXINGTON
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State | KY
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Zip | 40504-2701
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Country | US
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Telephone | 859-258-4138
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Fax | 859-258-4796
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Provider Business Mailing Address
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Address Line | 350 ELAINE DR SUITE 204
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City | LEXINGTON
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State | KY
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Zip | 40504-2754
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Country | US
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Telephone | 859-258-4508
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Fax | 859-258-6122
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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 | 207ZC0500X
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Taxonomy Name | Cytopathology Physician
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License Number | 34875
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License Number State | KY
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Taxonomy #2
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Taxonomy Code | 207ZP0102X
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Taxonomy Name | Anatomic Pathology & Clinical Pathology Physician
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License Number | 34875
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License Number State | KY
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