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General NPI Number Information
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NPI Number | 1669751459
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Entity Type | Individual
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Provider Name | CRYSTAL L MCCRARY ARNP
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Gender | Female
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Dates
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Enumeration Date | 08/10/2011
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Last Update Date | 01/29/2016
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Provider Practice Location Address
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Address Line | 725 PRIMERA BLVD STE.220
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City | LAKE MARY
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State | FL
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Zip | 32746-2125
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Country | US
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Telephone | 407-562-1885
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Fax | 407-672-0440
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Provider Business Mailing Address
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Address Line | 11615 MALVERNS LOOP
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City | ORLANDO
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State | FL
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Zip | 32832-6026
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Country | US
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Telephone | 772-359-2441
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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 | 363LF0000X
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Taxonomy Name | Family Nurse Practitioner
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License Number | ARNP9246732
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License Number State | FL
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