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General NPI Number Information
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NPI Number | 1194255299
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Entity Type | Individual
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Provider Name | JOHN CROWLEY DO
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Gender | Male
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Dates
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Enumeration Date | 06/13/2017
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Last Update Date | 01/08/2025
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Provider Practice Location Address
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Address Line | 1030 W 25TH STREET SUITE H
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City | YUMA
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State | AZ
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Zip | 85364-8384
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Country | US
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Telephone | 928-210-9165
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Fax |
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Provider Business Mailing Address
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Address Line | 2400 S AVENUE A
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City | YUMA
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State | AZ
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Zip | 85364-7170
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Country | US
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Telephone | 928-607-6130
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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 | 207L00000X
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Taxonomy Name | Anesthesiology Physician
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License Number | 009221
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License Number State | AZ
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