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General NPI Number Information
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NPI Number | 1437367133
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Entity Type | Individual
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Provider Name | DESTINY JANELL CROMER NP
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Gender | Female
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Dates
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Enumeration Date | 05/18/2007
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Last Update Date | 10/10/2023
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Provider Practice Location Address
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Address Line | 551 BREVARD RD
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City | ASHEVILLE
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State | NC
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Zip | 28806-2316
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Country | US
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Telephone | 828-212-7021
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Fax | 828-232-8218
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Provider Business Mailing Address
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Address Line | 172 BRANNON FOREST DR
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City | WAYNESVILLE
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State | NC
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Zip | 28785-7235
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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 | 363LA2200X
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Taxonomy Name | Adult Health Nurse Practitioner
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License Number | 5011253.
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License Number State | NC
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Taxonomy #2
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Taxonomy Code | 363L00000X
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Taxonomy Name | Nurse Practitioner
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License Number | 5011253
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License Number State | NC
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Taxonomy #3
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Taxonomy Code | 363LA2200X
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Taxonomy Name | Adult Health Nurse Practitioner
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License Number | AP120104
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License Number State | TX
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