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General NPI Number Information
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NPI Number | 1518835156
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Entity Type | Individual
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Provider Name | RICHELLE CREWS
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Gender | Female
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Dates
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Enumeration Date | 10/27/2025
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Last Update Date | 10/27/2025
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Provider Practice Location Address
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Address Line | 322 MEMORIAL DR STE 105
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City | GREER
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State | SC
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Zip | 29650-1521
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Country | US
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Telephone | 864-214-5553
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Fax | 864-572-4082
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Provider Business Mailing Address
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Address Line | 109 ROCKLEDGE DR
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City | GREENVILLE
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State | SC
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Zip | 29609-7157
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Country | US
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Telephone | 248-824-9000
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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 | 363LP0808X
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Taxonomy Name | Psychiatric/Mental Health Nurse Practitioner
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License Number | 30632
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License Number State | SC
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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 | 30632
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License Number State | SC
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