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General NPI Number Information
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NPI Number | 1023242658
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Entity Type | Individual
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Provider Name | LORI DENISE CRAWFORD PHARM. D.
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Gender | Female
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Dates
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Enumeration Date | 05/11/2009
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Last Update Date | 05/11/2009
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Provider Practice Location Address
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Address Line | 4300 W 7TH ST # 119
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City | LITTLE ROCK
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State | AR
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Zip | 72205-5446
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Country | US
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Telephone | 501-257-6364
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Fax |
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Provider Business Mailing Address
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Address Line | 3280 BRAKEBILL CV
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City | MEMPHIS
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State | TN
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Zip | 38116-3006
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Country | US
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Telephone | 901-396-8405
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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 | 183500000X
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Taxonomy Name | Pharmacist
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License Number | 29715
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License Number State | TN
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