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General NPI Number Information
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NPI Number | 1104042795
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Entity Type | Individual
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Provider Name | FELICE FAY CROWDER D.O.
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Gender | Female
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Dates
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Enumeration Date | 04/18/2007
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Last Update Date | 10/29/2024
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Provider Practice Location Address
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Address Line | 1040 N WALNUT AVE SUITE B
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City | NEW BRAUNFELS
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State | TX
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Zip | 78130-5312
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Country | US
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Telephone | 409-794-2947
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Fax |
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Provider Business Mailing Address
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Address Line | 4804 NORTH NAVARRO STREET
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City | VICTORIA
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State | TX
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Zip | 77904-2079
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Country | US
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Telephone | 361-576-0330
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Fax | 361-576-0556
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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 | 208D00000X
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Taxonomy Name | General Practice Physician
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License Number | J9652
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License Number State | TX
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