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General NPI Number Information
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NPI Number | 1235301508
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Entity Type | Organization
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Legal Business Name | RICHARD H. CROUCH, M.D.
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Dates
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Enumeration Date | 03/27/2008
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Last Update Date | 03/27/2008
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Provider Practice Location Address
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Address Line | 300 S 8TH ST STE 301E
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City | MURRAY
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State | KY
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Zip | 42071-2403
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Country | US
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Telephone | 270-759-4099
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Fax | 270-767-3626
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Provider Business Mailing Address
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Address Line | 300 S 8TH ST STE 301E
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City | MURRAY
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State | KY
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Zip | 42071-2403
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Country | US
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Telephone | 270-759-4099
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Fax | 270-767-3626
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Authorized Official
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Title or Position | OFFICE MANAGER
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Name | MRS. CAROLYN J PAGE
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Credential | CMA (AAMA)
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Telephone | 270-759-4099
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207Q00000X
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Taxonomy Name | Family Medicine Physician
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License Number | 19518
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License Number State | KY
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