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General NPI Number Information
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NPI Number | 1205582202
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Entity Type | Individual
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Provider Name | MR. AUGUST JAY CROWLEY
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Gender | Male
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Dates
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Enumeration Date | 02/28/2022
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Last Update Date | 08/19/2025
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Provider Practice Location Address
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Address Line | 2905 WILSON AVE SW ST. 252
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City | GRANDVILLE
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State | MI
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Zip | 49418
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Country | US
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Telephone | 616-201-2556
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Fax | 517-323-9531
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Provider Business Mailing Address
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Address Line | 7365 22ND AVE
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City | JENISON
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State | MI
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Zip | 49428
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Country | US
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Telephone | 248-302-3857
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Fax | 517-323-9531
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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 | 104100000X
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Taxonomy Name | Social Worker
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License Number |
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License Number State |
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