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General NPI Number Information
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NPI Number | 1174405468
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Entity Type | Individual
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Provider Name | LAURA ELIZABETH CROUCH
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Gender | Female
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Dates
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Enumeration Date | 07/25/2025
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Last Update Date | 08/07/2025
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Provider Practice Location Address
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Address Line | 169 E BRANNON RD
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City | NICHOLASVILLE
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State | KY
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Zip | 40356-8060
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Country | US
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Telephone | 859-245-4000
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Fax |
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Provider Business Mailing Address
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Address Line | 3482 SAYBROOK RD
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City | LEXINGTON
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State | KY
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Zip | 40503-4241
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Country | US
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Telephone | 859-312-0345
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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 | 225100000X
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Taxonomy Name | Physical Therapist
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License Number | 009364
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License Number State | KY
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Taxonomy #2
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Taxonomy Code | 225100000X
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Taxonomy Name | Physical Therapist
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License Number | TP2025041
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License Number State | KY
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