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General NPI Number Information
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NPI Number | 1144439738
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Entity Type | Individual
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Provider Name | CRAIG ANTHONY ELFORD MSPT, OMPT, CSCS
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Gender | Male
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Dates
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Enumeration Date | 05/21/2007
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Last Update Date | 01/23/2024
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Provider Practice Location Address
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Address Line | 317 E WACKERLY ST
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City | MIDLAND
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State | MI
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Zip | 48642-7062
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Country | US
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Telephone | 989-832-9300
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Fax | 989-832-9301
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Provider Business Mailing Address
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Address Line | 317 E WACKERLY ST
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City | MIDLAND
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State | MI
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Zip | 48642-7062
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Country | US
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Telephone | 989-832-9300
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Fax | 989-832-9301
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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 | 225100000X
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Taxonomy Name | Physical Therapist
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License Number | 5501010009
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License Number State | MI
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