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General NPI Number Information
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NPI Number | 1245672153
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Entity Type | Individual
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Provider Name | CAITLIN E. CRAWFORD LCSW
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Gender | Female
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Dates
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Enumeration Date | 07/19/2013
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Last Update Date | 09/17/2024
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Provider Practice Location Address
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Address Line | 13681 NEWPORT AVE # 8-343
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City | TUSTIN
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State | CA
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Zip | 92780-4689
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Country | US
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Telephone | 714-604-6555
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Fax |
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Provider Business Mailing Address
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Address Line | 13681 NEWPORT AVE # 8-343
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City | TUSTIN
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State | CA
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Zip | 92780-4689
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Country | US
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Telephone | 949-490-2732
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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 | 104100000X
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Taxonomy Name | Social Worker
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License Number | ASW61865
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License Number State | CA
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Taxonomy #2
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Taxonomy Code | 225400000X
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Taxonomy Name | Rehabilitation Practitioner
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License Number | ASW61865
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License Number State | CA
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Taxonomy #3
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Taxonomy Code | 104100000X
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Taxonomy Name | Social Worker
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License Number | LCSW75750
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License Number State | CA
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