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General NPI Number Information
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NPI Number | 1992274765
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Entity Type | Individual
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Provider Name | ALEXANDRIA MOTLEY CROOKS FNP
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Gender | Female
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Dates
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Enumeration Date | 11/21/2018
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Last Update Date | 09/15/2025
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Provider Practice Location Address
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Address Line | 222 E MEDICAL LN STE 100 & 200
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City | WEST COLUMBIA
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State | SC
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Zip | 29169-4847
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Country | US
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Telephone | 803-935-8410
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Fax |
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Provider Business Mailing Address
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Address Line | PO BOX 6069
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City | WEST COLUMBIA
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State | SC
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Zip | 29171-6069
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Country | US
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Telephone |
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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 | 5012073
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License Number State | NC
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Taxonomy #2
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Taxonomy Code | 363LF0000X
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Taxonomy Name | Family Nurse Practitioner
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License Number | 29248
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License Number State | SC
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Taxonomy #3
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Taxonomy Code | 363L00000X
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Taxonomy Name | Nurse Practitioner
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License Number | 5012073
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License Number State | NC
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