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General NPI Number Information
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NPI Number | 1912078668
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Entity Type | Individual
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Provider Name | LISA MARIE CROWE CRNP
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Gender | Female
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Dates
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Enumeration Date | 11/13/2006
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Last Update Date | 07/08/2007
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Provider Practice Location Address
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Address Line | 2700 HOSPITAL DR
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City | NORTHPORT
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State | AL
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Zip | 35476-3360
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Country | US
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Telephone | 205-366-3334
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Fax | 205-344-9031
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Provider Business Mailing Address
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Address Line | 2330 UNIVERSITY BLVD SUITE 501
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City | TUSCALOOSA
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State | AL
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Zip | 35401-1599
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Country | US
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Telephone | 205-366-3334
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Fax | 205-344-9031
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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 | 1-065227
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License Number State | AL
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