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General NPI Number Information
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NPI Number | 1194717579
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Entity Type | Individual
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Provider Name | STEPHEN LEE CRAWFORD O.D.
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Gender | Male
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Dates
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Enumeration Date | 08/22/2005
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Last Update Date | 01/26/2018
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Provider Practice Location Address
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Address Line | 1412 N AUGUSTA ST
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City | STAUNTON
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State | VA
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Zip | 24401-2401
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Country | US
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Telephone | 540-885-0006
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Fax | 540-885-5276
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Provider Business Mailing Address
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Address Line | 1950 OLD GALLOWS RD STE 520
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City | VIENNA
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State | VA
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Zip | 22182-3970
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Country | US
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Telephone | 703-847-8899
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Fax | 866-795-4020
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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 | 152W00000X
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Taxonomy Name | Optometrist
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License Number | 0601000761
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License Number State | VA
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Taxonomy #2
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Taxonomy Code | 152W00000X
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Taxonomy Name | Optometrist
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License Number | 0618000257
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License Number State | VA
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