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NPI 1639151673

NPI 1639151673 : WILLIAM K. CRAWFORD CRNA : BIRMINGHAM, AL

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General NPI Number Information
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    NPI Number           |    1639151673
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    Entity Type          |    Individual 
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    Provider Name        |    WILLIAM K. CRAWFORD CRNA
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    Gender               |    Male 
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Dates
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    Enumeration Date     |    11/16/2005
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    Last Update Date     |    03/24/2009
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Provider Practice Location Address
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    Address Line         |    1720 UNIVERSITY BLVD 
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    City                 |    BIRMINGHAM
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    State                |    AL
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    Zip                  |    35233-1816
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    Country              |    US
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    Telephone            |    205-325-8500
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    Fax                  |    205-325-8809
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Provider Business Mailing Address
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    Address Line         |    700 19TH ST S 
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    City                 |    BIRMINGHAM
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    State                |    AL
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    Zip                  |    35233-1927
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    Country              |    US
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    Telephone            |    205-979-5882
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    Fax                  |    205-979-1248
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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        |    367500000X
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    Taxonomy Name        |    Certified Registered Nurse Anesthetist
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    License Number       |    R863153
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    License Number State |    MS
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Taxonomy #2
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    Taxonomy Code        |    367500000X
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    Taxonomy Name        |    Certified Registered Nurse Anesthetist
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    License Number       |    1-037486
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    License Number State |    AL
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