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General NPI Number Information
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NPI Number | 1437365095
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Entity Type | Individual
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Provider Name | JEFFREY A CRAWFORD C.R.N.P,
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Gender | Male
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Dates
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Enumeration Date | 05/14/2007
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Last Update Date | 01/13/2014
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Provider Practice Location Address
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Address Line | 25442 AL HIGHWAY 127
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City | ELKMONT
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State | AL
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Zip | 35620-6608
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Country | US
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Telephone | 256-732-3712
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Fax | 256-732-3714
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Provider Business Mailing Address
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Address Line | 25442 AL HIGHWAY 127 PO BOX 449
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City | ELKMONT
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State | AL
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Zip | 35620-6608
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Country | US
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Telephone | 256-732-3712
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Fax | 256-732-3714
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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 | 363LA2100X
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Taxonomy Name | Acute Care Nurse Practitioner
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License Number | 0368408-28
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License Number State | AL
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