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General NPI Number Information
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NPI Number | 1003439480
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Entity Type | Organization
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Legal Business Name | BENJAMIN CRABB MD PLLC
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Dates
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Enumeration Date | 05/20/2020
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Last Update Date | 10/22/2020
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Provider Practice Location Address
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Address Line | 2304 HIGHWAY 121
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City | BEDFORD
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State | TX
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Zip | 76021-5985
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Country | US
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Telephone | 915-227-7429
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Fax |
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Provider Business Mailing Address
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Address Line | 190 E. STACY RD STE 306 - 116
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City | ALLEN
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State | TX
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Zip | 75002
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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 | OWNER
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Name | DR. BENJAMIN CRABB
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Credential | MD
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Telephone | 915-227-9901
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207PE0005X
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Taxonomy Name | Undersea and Hyperbaric Medicine (Emergency Medicine) Physician
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License Number |
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License Number State |
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