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General NPI Number Information
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NPI Number | 1003915018
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Entity Type | Organization
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Legal Business Name | JAMES J CROSSWELL JR MD PA
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Dates
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Enumeration Date | 09/22/2006
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Last Update Date | 07/08/2020
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Provider Practice Location Address
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Address Line | 97 CAMPEN ROAD
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City | BEAUFORT
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State | NC
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Zip | 28516
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Country | US
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Telephone | 252-728-3875
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Fax | 252-728-3594
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Provider Business Mailing Address
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Address Line | 97 CAMPEN ROAD
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City | BEAUFORT
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State | NC
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Zip | 28516
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Country | US
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Telephone | 252-728-3875
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Fax | 252-728-3594
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Authorized Official
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Title or Position | PRESIDENT
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Name | DR. JAMES JAQUELIN CROSSWELL JR.
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Credential | MD
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Telephone | 252-728-3875
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207Q00000X
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Taxonomy Name | Family Medicine Physician
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License Number | 28568
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License Number State | NC
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