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General NPI Number Information
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NPI Number | 1255444311
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Entity Type | Individual
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Provider Name | KAREN DENESE TAYLOR-CRAWFORD MD
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Gender | Female
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Dates
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Enumeration Date | 08/15/2006
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Last Update Date | 02/04/2019
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Provider Practice Location Address
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Address Line | 1701 TECHNOLOGY DR NE
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City | WILLMAR
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State | MN
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Zip | 56201-2275
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Country | US
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Telephone | 320-231-5421
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Fax | 320-231-5901
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Provider Business Mailing Address
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Address Line | 3208 W LAKE ST # 23
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City | MINNEAPOLIS
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State | MN
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Zip | 55416-4512
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Country | US
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Telephone |
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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 | 2084P0804X
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Taxonomy Name | Child & Adolescent Psychiatry Physician
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License Number | 036056639
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License Number State | IL
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Taxonomy #2
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Taxonomy Code | 2084P0804X
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Taxonomy Name | Child & Adolescent Psychiatry Physician
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License Number | 61895
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License Number State | MN
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