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General NPI Number Information
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NPI Number | 1568324028
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Entity Type | Individual
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Provider Name | TREVOR JAMES CROSSLEY PHARMD
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Gender | Male
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Dates
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Enumeration Date | 12/02/2025
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Last Update Date | 12/02/2025
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Provider Practice Location Address
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Address Line | 6203 WELLPINIT AGENCY LOOP
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City | WELLPINIT
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State | WA
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Zip | 99040
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Country | US
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Telephone | 509-258-4517
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Fax |
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Provider Business Mailing Address
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Address Line | 21595 W HIGHWAY 53
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City | RATHDRUM
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State | ID
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Zip | 83858-7684
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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 | 183500000X
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Taxonomy Name | Pharmacist
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License Number | 3271673
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License Number State | ID
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