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General NPI Number Information
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NPI Number | 1447859731
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Entity Type | Individual
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Provider Name | CINDY CLARE CRAIG AGNP-C
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Gender | Female
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Dates
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Enumeration Date | 10/19/2020
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Last Update Date | 01/12/2021
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Provider Practice Location Address
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Address Line | 4142 CRANBERRY LN
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City | WILLIAMSBURG
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State | MI
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Zip | 49690-8641
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Country | US
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Telephone | 231-735-3551
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Fax |
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Provider Business Mailing Address
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Address Line | 12100 DIX TOLEDO RD
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City | SOUTHGATE
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State | MI
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Zip | 48195-3531
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Country | US
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Telephone | 734-282-5502
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Fax | 734-282-7106
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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 | 363LP2300X
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Taxonomy Name | Primary Care Nurse Practitioner
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License Number | 4704313202
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License Number State | MI
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