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General NPI Number Information
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NPI Number | 1578117461
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Entity Type | Individual
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Provider Name | CRYSTAL DREHER APRN, FNP
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Gender | Female
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Dates
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Enumeration Date | 07/29/2019
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Last Update Date | 07/29/2019
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Provider Practice Location Address
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Address Line | 1215 S COULTER ST STE 204
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City | AMARILLO
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State | TX
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Zip | 79106-1767
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Country | US
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Telephone | 806-677-2030
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Fax |
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Provider Business Mailing Address
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Address Line | 2703 NASHVILLE
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City | AMARILLO
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State | TX
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Zip | 79118-1164
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Country | US
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Telephone | 806-282-8711
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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 | 363L00000X
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Taxonomy Name | Nurse Practitioner
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License Number | AP142170
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License Number State | TX
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