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General NPI Number Information
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NPI Number | 1225635329
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Entity Type | Individual
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Provider Name | ADAM JAMES CROWSON PA-C
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Gender | Male
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Dates
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Enumeration Date | 10/02/2020
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Last Update Date | 10/02/2020
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Provider Practice Location Address
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Address Line | 5115 N PALAFOX ST
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City | PENSACOLA
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State | FL
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Zip | 32505-2932
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Country | US
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Telephone | 850-378-8773
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Fax |
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Provider Business Mailing Address
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Address Line | 5827 HIGHWAY 189 N
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City | BAKER
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State | FL
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Zip | 32531-2501
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Country | US
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Telephone | 850-758-5227
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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 | 363AM0700X
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Taxonomy Name | Medical Physician Assistant
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License Number |
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License Number State |
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