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General NPI Number Information
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NPI Number | 1265546170
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Entity Type | Individual
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Provider Name | COURTNEY MAURICE CRAWFORD M.D.
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Gender | Male
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Dates
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Enumeration Date | 08/18/2006
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Last Update Date | 04/24/2025
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Provider Practice Location Address
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Address Line | 2780 SW WILSHIRE BLVD
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City | BURLESON
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State | TX
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Zip | 76028-8338
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Country | US
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Telephone | 817-378-4777
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Fax |
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Provider Business Mailing Address
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Address Line | 2780 SW WILSHIRE BLVD
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City | BURLESON
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State | TX
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Zip | 76028-8338
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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 | 207WX0107X
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Taxonomy Name | Retina Specialist (Ophthalmology) Physician
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License Number | MD45810
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License Number State | IA
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Taxonomy #2
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Taxonomy Code | 207WX0107X
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Taxonomy Name | Retina Specialist (Ophthalmology) Physician
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License Number | MD16947
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License Number State | RI
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Taxonomy #3
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Taxonomy Code | 207WX0107X
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Taxonomy Name | Retina Specialist (Ophthalmology) Physician
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License Number | E-12784
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License Number State | AR
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Taxonomy #4
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Taxonomy Code | 207WX0107X
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Taxonomy Name | Retina Specialist (Ophthalmology) Physician
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License Number | 51239
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License Number State | TN
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Taxonomy #5
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Taxonomy Code | 207WX0107X
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Taxonomy Name | Retina Specialist (Ophthalmology) Physician
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License Number | DR.0064347
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License Number State | CO
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Taxonomy #6
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Taxonomy Code | 207WX0107X
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Taxonomy Name | Retina Specialist (Ophthalmology) Physician
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License Number | 4301501895
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License Number State | MI
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Taxonomy #7
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Taxonomy Code | 207WX0107X
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Taxonomy Name | Retina Specialist (Ophthalmology) Physician
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License Number | 84595
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License Number State | GA
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Taxonomy #8
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Taxonomy Code | 207WX0107X
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Taxonomy Name | Retina Specialist (Ophthalmology) Physician
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License Number | 53996
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License Number State | KY
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Taxonomy #9
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Taxonomy Code | 207WX0107X
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Taxonomy Name | Retina Specialist (Ophthalmology) Physician
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License Number | 258189
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License Number State | MA
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Taxonomy #10
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Taxonomy Code | 207WX0107X
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Taxonomy Name | Retina Specialist (Ophthalmology) Physician
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License Number | MD2020-0353
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License Number State | NM
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Taxonomy #11
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Taxonomy Code | 207WX0107X
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Taxonomy Name | Retina Specialist (Ophthalmology) Physician
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License Number | 2020-01277
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License Number State | NC
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Taxonomy #12
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Taxonomy Code | 207WX0107X
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Taxonomy Name | Retina Specialist (Ophthalmology) Physician
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License Number | 60219
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License Number State | AZ
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Taxonomy #13
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Taxonomy Code | 207WX0107X
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Taxonomy Name | Retina Specialist (Ophthalmology) Physician
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License Number | 35832
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License Number State | OK
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Taxonomy #14
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Taxonomy Code | 207WX0107X
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Taxonomy Name | Retina Specialist (Ophthalmology) Physician
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License Number | 66760
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License Number State | CT
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Taxonomy #15
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Taxonomy Code | 207WX0107X
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Taxonomy Name | Retina Specialist (Ophthalmology) Physician
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License Number | Q7173
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License Number State | TX
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