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General NPI Number Information
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NPI Number | 1912437385
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Entity Type | Individual
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Provider Name | ELIZABETH CRAMBLET-BOYKIN FNP-C
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Gender | Female
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Dates
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Enumeration Date | 06/18/2017
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Last Update Date | 08/28/2024
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Provider Practice Location Address
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Address Line | 600 N UNION AVE
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City | NEW BRAUNFELS
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State | TX
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Zip | 78130-4194
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Country | US
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Telephone | 830-643-6166
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Fax |
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Provider Business Mailing Address
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Address Line | PO BOX 2021
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City | CANYON LAKE
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State | TX
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Zip | 78133-0007
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Country | US
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Telephone | 830-305-2404
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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 | AP134135
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License Number State | TX
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