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General NPI Number Information
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NPI Number | 1235485079
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Entity Type | Organization
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Legal Business Name | DR CRABLE OB GYN PA
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Dates
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Enumeration Date | 07/30/2012
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Last Update Date | 07/30/2012
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Provider Practice Location Address
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Address Line | 8160 WALNUT HILL LN SUITE LL 001
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City | DALLAS
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State | TX
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Zip | 75231-4339
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Country | US
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Telephone | 469-364-3764
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Fax | 469-364-3764
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Provider Business Mailing Address
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Address Line | 8160 WALNUT HILL LN SUITE LL 001
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City | DALLAS
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State | TX
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Zip | 75231-4339
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Country | US
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Telephone | 469-364-3764
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Fax | 469-364-3764
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Authorized Official
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Title or Position | OWNER
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Name | QUANITA JAMELLE CRABLE
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Credential | MD
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Telephone | 469-364-3764
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207V00000X
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Taxonomy Name | Obstetrics & Gynecology Physician
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License Number | N9197
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License Number State | TX
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