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General NPI Number Information
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NPI Number | 1225253032
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Entity Type | Organization
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Legal Business Name | THOMPSON, CRAWFORD, STEWART, AND LEE,
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Dates
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Enumeration Date | 04/16/2007
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Last Update Date | 08/22/2020
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Provider Practice Location Address
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Address Line | 126 S GLENDORA AVE
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City | WEST COVINA
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State | CA
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Zip | 91790-3035
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Country | US
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Telephone | 626-918-8513
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Fax | 626-919-7344
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Provider Business Mailing Address
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Address Line | 126 S GLENDORA AVE
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City | WEST COVINA
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State | CA
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Zip | 91790-3035
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Country | US
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Telephone | 626-918-8513
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Fax | 626-919-7344
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Authorized Official
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Title or Position | PARTNER
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Name | DR. WILLIAM S. CRAWFORD
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Credential | D.D.S.
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Telephone | 626-918-8513
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 1223G0001X
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Taxonomy Name | General Practice Dentistry
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License Number | 29030
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License Number State | CA
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