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General NPI Number Information
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NPI Number | 1205275625
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Entity Type | Individual
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Provider Name | ANGELA CRUNDWELL LPC/CR
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Gender | Female
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Dates
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Enumeration Date | 06/19/2013
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Last Update Date | 06/04/2015
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Provider Practice Location Address
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Address Line | 525 METRO PL N
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City | DUBLIN
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State | OH
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Zip | 43017-5342
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Country | US
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Telephone | 614-339-0870
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Fax | 614-339-1870
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Provider Business Mailing Address
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Address Line | 525 METRO PL N
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City | DUBLIN
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State | OH
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Zip | 43017-5342
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Country | US
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Telephone | 614-339-0870
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Fax | 614-339-1870
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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 | 101YM0800X
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Taxonomy Name | Mental Health Counselor
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License Number | C.110379-CR
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License Number State | OH
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