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General NPI Number Information
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NPI Number | 1245452655
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Entity Type | Organization
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Legal Business Name | RICHARD L. CROW D.D.S.,P. C.
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Dates
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Enumeration Date | 05/03/2007
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Last Update Date | 03/13/2012
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Provider Practice Location Address
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Address Line | 3648 CYPRESS CREEK PKWY SUITE 214
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City | HOUSTON
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State | TX
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Zip | 77068-3610
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Country | US
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Telephone | 281-444-1121
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Fax | 281-893-5975
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Provider Business Mailing Address
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Address Line | 3648 CYPRESS CREEK PKWY SUITE 214
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City | HOUSTON
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State | TX
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Zip | 77068-3610
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Country | US
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Telephone | 281-444-1121
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Fax | 281-893-5975
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Authorized Official
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Title or Position | PRESIDENT
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Name | DR. RICHARD LEE CROW
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Credential | D.D.S.
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Telephone | 281-444-1121
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261QD0000X
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Taxonomy Name | Dental Clinic/Center
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License Number | 9047
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License Number State | TX
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