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General NPI Number Information
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NPI Number | 1326711250
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Entity Type | Individual
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Provider Name | JAMES WOODSON CRUM
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Gender | Male
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Dates
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Enumeration Date | 07/27/2021
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Last Update Date | 07/23/2025
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Provider Practice Location Address
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Address Line | 78 WEAVER BLVD
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City | WEAVERVILLE
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State | NC
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Zip | 28787-9322
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Country | US
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Telephone | 828-645-4297
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Fax |
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Provider Business Mailing Address
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Address Line | 13409 DESERT HILLS PL NE
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City | ALBUQUERQUE
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State | NM
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Zip | 87111-3032
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Country | US
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Telephone | 828-713-6520
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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 | 363AM0700X
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Taxonomy Name | Medical Physician Assistant
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License Number | PA2021-0002
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License Number State | NM
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Taxonomy #2
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Taxonomy Code | 363AM0700X
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Taxonomy Name | Medical Physician Assistant
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License Number | 0010-15453
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License Number State | NC
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