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General NPI Number Information
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NPI Number | 1518874064
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Entity Type | Organization
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Legal Business Name | MERRIT CRUMP M.D PLLC
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Dates
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Enumeration Date | 08/27/2026
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Last Update Date | 08/27/2026
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Provider Practice Location Address
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Address Line | 4539 N 22ND ST STE R
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City | PHOENIX
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State | AZ
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Zip | 85016-4639
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Country | US
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Telephone | 928-304-8545
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Fax | 844-260-2871
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Provider Business Mailing Address
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Address Line | 4539 N 22ND ST STE R
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City | PHOENIX
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State | AZ
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Zip | 85016-4639
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Country | US
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Telephone | 928-304-8545
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Fax | 844-260-2871
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Authorized Official
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Title or Position | MANAGER
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Name | MERRIT CRUMP
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Credential | M.D
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Telephone | 928-304-8545
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207RA0401X
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Taxonomy Name | Addiction Medicine (Internal Medicine) Physician
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License Number |
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License Number State |
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