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General NPI Number Information
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NPI Number | 1275722795
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Entity Type | Organization
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Legal Business Name | PHILIP H CROYLE MD PA
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Dates
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Enumeration Date | 10/22/2007
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Last Update Date | 03/12/2009
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Provider Practice Location Address
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Address Line | 300 RICHLAND WEST CIR SUITE 2
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City | WACO
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State | TX
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Zip | 76712-7935
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Country | US
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Telephone | 254-751-1700
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Fax | 254-751-0700
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Provider Business Mailing Address
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Address Line | PO BOX 23690 SUITE D
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City | WACO
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State | TX
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Zip | 76702-3690
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Country | US
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Telephone | 254-751-1700
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Fax | 254-751-0700
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Authorized Official
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Title or Position | PHYSICIAN
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Name | DR. PHILIP H CROYLE
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Credential | MD
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Telephone | 254-751-1700
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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 | E1838
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License Number State | TX
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