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General NPI Number Information
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NPI Number | 1336799048
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Entity Type | Individual
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Provider Name | JANETTE RENE CRAWFORD M.ED.
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Gender | Female
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Dates
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Enumeration Date | 09/14/2019
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Last Update Date | 12/05/2024
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Provider Practice Location Address
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Address Line | 171 INTREPID LN
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City | SYRACUSE
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State | NY
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Zip | 13205-2548
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Country | US
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Telephone | 301-437-4689
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Fax |
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Provider Business Mailing Address
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Address Line | 31 DAM OVERLOOK LN
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City | LAWRENCEVILLE
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State | PA
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Zip | 16929-8419
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Country | US
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Telephone | 607-857-9388
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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 | 174400000X
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Taxonomy Name | Specialist
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License Number |
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License Number State | NY
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