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General NPI Number Information
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NPI Number | 1477583516
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Entity Type | Individual
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Provider Name | DONNA CHARLENE CRANDELL M.D.
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Gender | Female
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Dates
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Enumeration Date | 07/04/2006
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Last Update Date | 09/11/2025
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Provider Practice Location Address
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Address Line | 5682 HIGHWAY 73
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City | RUSSELLVILLE
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State | AL
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Zip | 35653-6387
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Country | US
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Telephone | 256-332-7350
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Fax |
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Provider Business Mailing Address
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Address Line | PO BOX 639
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City | RUSSELLVILLE
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State | AL
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Zip | 35653-0639
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Country | US
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Telephone | 256-332-7350
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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 | 2085R0202X
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Taxonomy Name | Diagnostic Radiology Physician
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License Number | 10863
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License Number State | AL
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Taxonomy #2
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Taxonomy Code | 2085R0202X
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Taxonomy Name | Diagnostic Radiology Physician
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License Number | 15749
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License Number State | GA
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Taxonomy #3
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Taxonomy Code | 2085R0202X
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Taxonomy Name | Diagnostic Radiology Physician
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License Number | 06281
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License Number State | MS
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Taxonomy #4
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Taxonomy Code | 2085R0202X
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Taxonomy Name | Diagnostic Radiology Physician
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License Number | 9456
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License Number State | OK
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Taxonomy #5
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Taxonomy Code | 2085U0001X
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Taxonomy Name | Diagnostic Ultrasound Physician
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License Number | 5982
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License Number State | TN
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