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General NPI Number Information
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NPI Number | 1295091676
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Entity Type | Organization
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Legal Business Name | CRANE COUNSELING SERVICES
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Dates
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Enumeration Date | 04/10/2012
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Last Update Date | 04/10/2012
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Provider Practice Location Address
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Address Line | 1400 W MARKHAM ST STE. 308B-C
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City | LITTLE ROCK
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State | AR
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Zip | 72201-1840
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Country | US
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Telephone | 501-352-0276
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Fax |
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Provider Business Mailing Address
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Address Line | 1400 W MARKHAM ST STE. 308B-C
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City | LITTLE ROCK
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State | AR
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Zip | 72201-1840
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Country | US
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Telephone | 501-352-0276
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Fax |
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Authorized Official
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Title or Position | OWNER
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Name | MRS. LINDSAY OLIVER CRANE
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Credential | LPC
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Telephone | 501-352-0276
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 101YP2500X
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Taxonomy Name | Professional Counselor
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License Number | P1102011
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License Number State | AR
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