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General NPI Number Information
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NPI Number | 1225324239
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Entity Type | Individual
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Provider Name | DAVID F CRAWLEY M.D.
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Gender | Male
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Dates
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Enumeration Date | 06/28/2011
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Last Update Date | 07/05/2016
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Provider Practice Location Address
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Address Line | 3 SHAWS CV SUITE 206
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City | NEW LONDON
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State | CT
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Zip | 06320-4952
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Country | US
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Telephone | 860-443-0622
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Fax |
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Provider Business Mailing Address
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Address Line | 3 SHAWS CV SUITE 206
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City | NEW LONDON
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State | CT
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Zip | 06320-4952
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Country | US
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Telephone | 860-443-0622
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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 | 208800000X
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Taxonomy Name | Urology Physician
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License Number | 054831
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License Number State | CT
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