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General NPI Number Information
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NPI Number | 1346667516
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Entity Type | Individual
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Provider Name | ANDREA CRIPPS PH.D.
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Gender | Female
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Dates
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Enumeration Date | 03/25/2014
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Last Update Date | 10/07/2016
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Provider Practice Location Address
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Address Line | 209S EPPLER
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City | BOWLING GREEN
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State | OH
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Zip | 43403-8001
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Country | US
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Telephone | 419-372-0221
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Fax | 575-646-3564
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Provider Business Mailing Address
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Address Line | 209S EPPLER
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City | BOWLING GREEN
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State | OH
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Zip | 43403-0001
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Country | US
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Telephone | 419-372-0221
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Fax | 419-372-2153
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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 | 2255A2300X
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Taxonomy Name | Athletic Trainer
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License Number | 574
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License Number State | NM
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