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General NPI Number Information
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NPI Number | 1154649234
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Entity Type | Individual
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Provider Name | MICHELLE CHRISTINE CRAWFORD MD
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Gender | Female
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Dates
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Enumeration Date | 05/13/2010
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Last Update Date | 12/15/2022
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Provider Practice Location Address
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Address Line | 1930 MARLTON PIKE E STE C15
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City | CHERRY HILL
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State | NJ
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Zip | 08003-2143
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Country | US
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Telephone | 856-509-5063
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Fax | 856-509-5064
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Provider Business Mailing Address
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Address Line | 1930 MARLTON PIKE E STE C15
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City | CHERRY HILL
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State | NJ
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Zip | 08003-2143
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Country | US
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Telephone | 856-509-5063
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Fax | 856-509-5064
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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 | 2084P0800X
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Taxonomy Name | Psychiatry Physician
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License Number | 25MA10594200
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License Number State | NJ
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