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General NPI Number Information
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NPI Number | 1902357510
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Entity Type | Individual
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Provider Name | TAMIKA CRAWFORD NP-C
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Gender | Female
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Dates
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Enumeration Date | 10/18/2016
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Last Update Date | 10/09/2025
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Provider Practice Location Address
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Address Line | 64 GILES ST
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City | HEFLIN
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State | AL
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Zip | 36264-1738
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Country | US
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Telephone | 256-463-2021
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Fax | 256-463-2024
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Provider Business Mailing Address
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Address Line | 4485 LAWRENCEVILLE HWY NW STE 207
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City | LILBURN
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State | GA
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Zip | 30047-3633
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Country | US
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Telephone | 470-469-6827
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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 | RN210936
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License Number State | GA
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Taxonomy #2
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Taxonomy Code | 363LG0600X
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Taxonomy Name | Gerontology Nurse Practitioner
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License Number | RN210936
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License Number State | GA
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