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General NPI Number Information
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NPI Number | 1104621382
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Entity Type | Individual
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Provider Name | MS. DEBORAH CROWLEY
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Gender | Female
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Dates
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Enumeration Date | 02/13/2025
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Last Update Date | 02/13/2025
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Provider Practice Location Address
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Address Line | 21465 GREEN HILL RD APT 272
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City | FARMINGTON HILLS
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State | MI
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Zip | 48335-4566
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Country | US
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Telephone | 248-930-0271
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Fax |
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Provider Business Mailing Address
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Address Line | 37500 PEMBROKE AVE
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City | LIVONIA
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State | MI
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Zip | 48152-4061
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Country | US
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Telephone | 248-930-0271
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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 | 385HR2050X
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Taxonomy Name | Respite Care Camp
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License Number |
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License Number State |
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