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General NPI Number Information
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NPI Number | 1053436048
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Entity Type | Individual
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Provider Name | BILLY D. CRAWFORD MS
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Gender | Male
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Dates
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Enumeration Date | 03/20/2007
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Last Update Date | 03/18/2024
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Provider Practice Location Address
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Address Line | 25 HOLLY RIDGE DR
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City | TEXARKANA
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State | TX
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Zip | 75503-1105
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Country | US
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Telephone | 903-278-7353
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Fax |
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Provider Business Mailing Address
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Address Line | 25 HOLLY RIDGE DR
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City | TEXARKANA
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State | TX
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Zip | 75503-1105
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Country | US
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Telephone | 903-278-7353
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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 | 101YM0800X
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Taxonomy Name | Mental Health Counselor
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License Number |
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License Number State |
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Taxonomy #2
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Taxonomy Code | 101YP2500X
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Taxonomy Name | Professional Counselor
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License Number | P9908019
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License Number State | AR
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Taxonomy #3
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Taxonomy Code | 101YP2500X
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Taxonomy Name | Professional Counselor
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License Number | 11374
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License Number State | TX
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Taxonomy #4
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Taxonomy Code | 103TC0700X
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Taxonomy Name | Clinical Psychologist
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License Number | 87-1E
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License Number State | AR
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Taxonomy #5
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Taxonomy Code | 103TC0700X
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Taxonomy Name | Clinical Psychologist
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License Number | 1-2444
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License Number State | TX
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Taxonomy #6
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Taxonomy Code | 101YM0800X
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Taxonomy Name | Mental Health Counselor
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License Number | 11374
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License Number State | TX
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