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General NPI Number Information
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NPI Number | 1760649388
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Entity Type | Individual
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Provider Name | DONALD CRABTREE DO
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Gender | Male
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Dates
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Enumeration Date | 05/21/2008
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Last Update Date | 08/28/2024
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Provider Practice Location Address
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Address Line | 117 PIPER ST STE L
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City | HOT SPRINGS
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State | AR
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Zip | 71901-8263
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Country | US
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Telephone | 501-651-0018
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Fax | 501-463-6326
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Provider Business Mailing Address
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Address Line | 11001 EXECUTIVE CENTER DR STE 200
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City | LITTLE ROCK
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State | AR
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Zip | 72211-4393
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Country | US
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Telephone | 501-651-0018
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Fax | 501-463-6326
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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 | 207LC0200X
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Taxonomy Name | Critical Care Medicine (Anesthesiology) Physician
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License Number | E-8972
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License Number State | AR
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Taxonomy #2
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Taxonomy Code | 208VP0000X
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Taxonomy Name | Pain Medicine Physician
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License Number | E-8972
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License Number State | AR
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Taxonomy #3
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Taxonomy Code | 207L00000X
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Taxonomy Name | Anesthesiology Physician
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License Number | E-8972
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License Number State | AR
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