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General NPI Number Information
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NPI Number | 1508666371
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Entity Type | Individual
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Provider Name | ELEANOR CRESSWELL CRNP
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Gender | Female
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Dates
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Enumeration Date | 03/19/2025
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Last Update Date | 10/28/2025
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Provider Practice Location Address
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Address Line | 1878 JEFF RD NW STE C
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City | HUNTSVILLE
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State | AL
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Zip | 35806-4261
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Country | US
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Telephone | 256-430-0030
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Fax |
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Provider Business Mailing Address
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Address Line | 1275 DICK LONAS RD
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City | KNOXVILLE
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State | TN
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Zip | 37909-1382
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Country | US
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Telephone | 865-584-4747
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Fax | 865-381-1509
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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 | 363LF0000X
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Taxonomy Name | Family Nurse Practitioner
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License Number | 1-188967
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License Number State | AL
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Taxonomy #2
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Taxonomy Code | 363LF0000X
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Taxonomy Name | Family Nurse Practitioner
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License Number | 40178
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License Number State | TN
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