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General NPI Number Information
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NPI Number | 1043512007
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Entity Type | Organization
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Legal Business Name | ROBERT C. CROWE, O.D., INC.
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Dates
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Enumeration Date | 11/24/2010
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Last Update Date | 11/24/2010
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Provider Practice Location Address
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Address Line | 17190 MONTEREY ROAD, SUITE 100
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City | MORGAN HILL
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State | CA
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Zip | 95037-3604
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Country | US
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Telephone | 408-779-5584
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Fax | 408-779-6819
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Provider Business Mailing Address
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Address Line | 17190 MONTEREY ROAD, SUITE 100
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City | MORGAN HILL
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State | CA
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Zip | 95037-3604
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Country | US
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Telephone | 408-779-5584
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Fax | 408-779-6819
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Authorized Official
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Title or Position | PRESIDENT
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Name | DR. ROBERT CUDAHY CROWE
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Credential | O.D.
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Telephone | 408-779-5584
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 152W00000X
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Taxonomy Name | Optometrist
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License Number | 6015T
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License Number State | CA
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