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General NPI Number Information
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NPI Number | 1992779805
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Entity Type | Individual
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Provider Name | CAROLE M CRAWFORD M.S, R.N., C.S, APN
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Gender | Female
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Dates
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Enumeration Date | 02/15/2006
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Last Update Date | 07/16/2020
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Provider Practice Location Address
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Address Line | 63 E SPAULDING AVE
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City | PUEBLO WEST
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State | CO
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Zip | 81007-5416
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Country | US
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Telephone | 719-251-3346
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Fax | 855-775-0361
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Provider Business Mailing Address
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Address Line | 63 E SPAULDING AVE BOX 11
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City | PUEBLO WEST
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State | CO
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Zip | 81007-5416
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Country | US
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Telephone | 719-251-3346
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Fax | 855-775-0361
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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 | 364SP0808X
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Taxonomy Name | Psychiatric/Mental Health Clinical Nurse Specialist
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License Number | APN.0001116.CNS
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License Number State | CO
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Taxonomy #2
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Taxonomy Code | 364SP0808X
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Taxonomy Name | Psychiatric/Mental Health Clinical Nurse Specialist
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License Number | 35314
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License Number State | CO
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