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NPI 1346786662

NPI 1346786662 : KRISTIN CRAWFORD APN : COLORADO SPRINGS, CO

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General NPI Number Information
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    NPI Number           |    1346786662
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    Entity Type          |    Individual 
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    Provider Name        |    KRISTIN CRAWFORD APN
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    Gender               |    Female 
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Dates
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    Enumeration Date     |    01/10/2017
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    Last Update Date     |    01/12/2021
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Provider Practice Location Address
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    Address Line         |    2550 TENDERFOOT HILL ST 
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    City                 |    COLORADO SPRINGS
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    State                |    CO
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    Zip                  |    80906-3998
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    Country              |    US
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    Telephone            |    719-633-3400
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    Fax                  |    
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Provider Business Mailing Address
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    Address Line         |    2550 TENDERFOOT HILL ST 
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    City                 |    COLORADO SPRINGS
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    State                |    CO
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    Zip                  |    80906-3998
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    Country              |    US
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    Telephone            |    719-633-3400
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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        |    163W00000X
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    Taxonomy Name        |    Registered Nurse
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    License Number       |    041358858
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    License Number State |    IL
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Taxonomy #2
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    Taxonomy Code        |    363LA2100X
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    Taxonomy Name        |    Acute Care Nurse Practitioner
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    License Number       |    209014805
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    License Number State |    IL
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Taxonomy #3
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    Taxonomy Code        |    363LA2100X
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    Taxonomy Name        |    Acute Care Nurse Practitioner
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    License Number       |    996088
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    License Number State |    CO
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