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General NPI Number Information
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NPI Number | 1114601341
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Entity Type | Individual
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Provider Name | MOLLY EMMA CROWDER LMSW
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Gender | Female
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Dates
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Enumeration Date | 06/08/2023
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Last Update Date | 06/08/2023
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Provider Practice Location Address
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Address Line | 4801 MEDICAL CENTER DR
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City | MCKINNEY
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State | TX
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Zip | 75069-1881
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Country | US
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Telephone | 469-214-7801
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Fax |
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Provider Business Mailing Address
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Address Line | 1703 ROCKHILL RD APT 4203
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City | MCKINNEY
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State | TX
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Zip | 75069-1413
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Country | US
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Telephone |
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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 | 104100000X
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Taxonomy Name | Social Worker
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License Number | 110431
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License Number State | TX
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