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General NPI Number Information
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NPI Number | 1487982500
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Entity Type | Individual
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Provider Name | MARY ANN CRAWFORD NP
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Gender | Female
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Dates
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Enumeration Date | 12/01/2009
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Last Update Date | 02/16/2011
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Provider Practice Location Address
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Address Line | 7229 CLEARVISTA DR
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City | INDIANAPOLIS
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State | IN
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Zip | 46256-1698
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Country | US
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Telephone | 317-621-4300
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Fax | 317-621-4301
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Provider Business Mailing Address
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Address Line | 7229 CLEARVISTA DR
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City | INDIANAPOLIS
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State | IN
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Zip | 46256-1698
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Country | US
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Telephone | 317-621-4300
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Fax | 317-621-4301
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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 | 71003067A
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License Number State | IN
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