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General NPI Number Information
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NPI Number | 1659684637
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Entity Type | Individual
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Provider Name | KRISTEN MARIE CROWLEY N.P.
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Gender | Female
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Dates
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Enumeration Date | 07/20/2010
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Last Update Date | 12/28/2012
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Provider Practice Location Address
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Address Line | 712 SAINT JOHN ST
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City | GARDEN CITY
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State | KS
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Zip | 67846-5128
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Country | US
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Telephone | 620-275-1766
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Fax |
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Provider Business Mailing Address
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Address Line | 551 3RD AVE APT 24
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City | NEW YORK
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State | NY
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Zip | 10016-3561
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Country | US
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Telephone | 347-417-3608
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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 | 363LA2200X
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Taxonomy Name | Adult Health Nurse Practitioner
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License Number | F305469-1
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License Number State | NY
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