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General NPI Number Information
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NPI Number | 1427578905
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Entity Type | Individual
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Provider Name | CASEY ANN CROZIER FNP-BC
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Gender | Female
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Dates
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Enumeration Date | 06/26/2017
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Last Update Date | 12/03/2022
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Provider Practice Location Address
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Address Line | 421 CHAPANOKE RD STE 116
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City | RALEIGH
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State | NC
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Zip | 27603-3690
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Country | US
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Telephone | 336-515-1173
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Fax |
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Provider Business Mailing Address
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Address Line | 7214 MOONSEED LN
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City | CARTHAGE
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State | NC
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Zip | 28327-6206
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Country | US
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Telephone |
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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 | 363LF0000X
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Taxonomy Name | Family Nurse Practitioner
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License Number | 5009618
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License Number State | NC
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