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General NPI Number Information
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NPI Number | 1821750746
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Entity Type | Individual
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Provider Name | FELICIA BISPO CRAWFORD AGNP-BC
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Gender | Female
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Dates
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Enumeration Date | 10/07/2021
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Last Update Date | 06/24/2022
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Provider Practice Location Address
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Address Line | 7702 MEANY AVE STE 105
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City | BAKERSFIELD
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State | CA
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Zip | 93308-5199
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Country | US
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Telephone | 661-340-7974
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Fax |
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Provider Business Mailing Address
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Address Line | 6107 OXFORD HILLS DR
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City | BAKERSFIELD
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State | CA
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Zip | 93313-5980
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Country | US
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Telephone | 661-340-7974
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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 | 363LG0600X
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Taxonomy Name | Gerontology Nurse Practitioner
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License Number | 95018745
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License Number State | CA
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