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General NPI Number Information
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NPI Number | 1093342867
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Entity Type | Individual
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Provider Name | SHANDIE JO CROW LCSW
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Gender | Female
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Dates
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Enumeration Date | 03/23/2020
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Last Update Date | 08/05/2025
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Provider Practice Location Address
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Address Line | 2615 MEDICAL CENTER PKWY STE 1560
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City | MURFREESBORO
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State | TN
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Zip | 37129-3758
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Country | US
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Telephone | 615-208-5396
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Fax |
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Provider Business Mailing Address
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Address Line | 4101 TWIN OAKS LN
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City | ANTIOCH
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State | TN
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Zip | 37013-4818
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Country | US
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Telephone | 615-975-5225
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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 | 1041C0700X
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Taxonomy Name | Clinical Social Worker
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License Number | 8239
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License Number State | TN
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