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General NPI Number Information
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NPI Number | 1588829881
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Entity Type | Individual
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Provider Name | KRISTINA CREWS C.N.A.
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Gender | Female
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Dates
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Enumeration Date | 07/25/2008
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Last Update Date | 07/25/2008
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Provider Practice Location Address
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Address Line | 2009 GARDNER DR
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City | LORIDA
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State | FL
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Zip | 33857-9442
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Country | US
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Telephone | 863-655-5423
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Fax | 863-655-3306
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Provider Business Mailing Address
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Address Line | 2009 GARDNER DR.
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City | LORIDA
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State | FL
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Zip | 33857
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Country | US
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Telephone | 863-655-5423
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Fax | 863-655-3306
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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 | 376K00000X
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Taxonomy Name | Nurse's Aide
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License Number | 157546
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License Number State | FL
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