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General NPI Number Information
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NPI Number | 1548173735
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Entity Type | Individual
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Provider Name | JACOB CRABTREE APRN
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Gender | Male
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Dates
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Enumeration Date | 09/28/2026
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Last Update Date | 09/28/2026
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Provider Practice Location Address
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Address Line | 266 JOULE ST
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City | ALCOA
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State | TN
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Zip | 37701-2422
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Country | US
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Telephone | 865-268-1344
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Fax |
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Provider Business Mailing Address
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Address Line | 604 W 10TH AVE
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City | LENOIR CITY
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State | TN
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Zip | 37771-1521
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Country | US
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Telephone |
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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 | 363LF0000X
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Taxonomy Name | Family Nurse Practitioner
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License Number | 43137
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License Number State | TN
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