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General NPI Number Information
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NPI Number | 1144488891
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Entity Type | Organization
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Legal Business Name | GEORGE I CRAWFORD JR MD PC
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Dates
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Enumeration Date | 05/29/2008
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Last Update Date | 03/04/2024
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Provider Practice Location Address
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Address Line | 1105 WOODSTOCK AVE
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City | ANNISTON
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State | AL
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Zip | 36207-4708
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Country | US
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Telephone | 256-240-7272
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Fax | 256-240-7242
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Provider Business Mailing Address
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Address Line | 1105 WOODSTOCK AVE
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City | ANNISTON
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State | AL
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Zip | 36207-4708
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Country | US
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Telephone | 256-240-7272
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Fax | 256-240-7242
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Authorized Official
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Title or Position | MD
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Name | DR. GEORGE I. CRAWFORD JR.
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Credential | MD PC
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Telephone | 256-240-7272
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261QM1300X
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Taxonomy Name | Multi-Specialty Clinic/Center
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License Number | MD.26618
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License Number State | AL
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