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General NPI Number Information
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NPI Number | 1316990641
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Entity Type | Individual
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Provider Name | THOMAS N. CRAWFORD PH.D.
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Gender | Male
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Dates
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Enumeration Date | 05/18/2006
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Last Update Date | 06/08/2018
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Provider Practice Location Address
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Address Line | 1133 BROADWAY SUITE 1600
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City | NEW YORK
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State | NY
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Zip | 10010-7903
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Country | US
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Telephone | 646-660-0482
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Fax | 212-229-0342
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Provider Business Mailing Address
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Address Line | 1133 BROADWAY STE 1600
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City | NEW YORK
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State | NY
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Zip | 10010-7926
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Country | US
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Telephone | 212-229-0343
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Fax | 212-229-0342
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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 | 103TC0700X
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Taxonomy Name | Clinical Psychologist
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License Number | 013513
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License Number State | NY
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