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General NPI Number Information
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NPI Number | 1962494237
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Entity Type | Individual
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Provider Name | SHERRY CRUMP MD
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Gender | Female
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Dates
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Enumeration Date | 08/22/2005
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Last Update Date | 07/08/2007
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Provider Practice Location Address
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Address Line | 720 WESTVIEW DR SW
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City | ATLANTA
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State | GA
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Zip | 30310-1458
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Country | US
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Telephone | 404-752-1541
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Fax | 404-752-1198
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Provider Business Mailing Address
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Address Line | 75 PIEDMONT AVE STE 700
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City | ATLANTA
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State | GA
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Zip | 30303-2544
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Country | US
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Telephone | 404-756-5271
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Fax | 404-756-1402
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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 | 2083P0901X
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Taxonomy Name | Public Health & General Preventive Medicine Physician
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License Number | 037785
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License Number State | GA
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