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General NPI Number Information
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NPI Number | 1255349098
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Entity Type | Individual
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Provider Name | JASON MALCOLM CRANDELL M.D.
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Gender | Male
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Dates
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Enumeration Date | 08/04/2006
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Last Update Date | 07/09/2007
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Provider Practice Location Address
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Address Line | 2511 NEUDORF RD STE D
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City | CLEMMONS
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State | NC
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Zip | 27012-8922
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Country | US
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Telephone | 336-778-0506
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Fax | 336-778-0570
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Provider Business Mailing Address
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Address Line | PO BOX 1741
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City | CLEMMONS
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State | NC
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Zip | 27012-1741
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Country | US
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Telephone | 336-778-0506
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Fax | 336-778-0570
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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 | 174400000X
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Taxonomy Name | Specialist
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License Number | 23500
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License Number State | NC
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