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General NPI Number Information
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NPI Number | 1346329265
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Entity Type | Individual
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Provider Name | BRADLEY CRAWFORD PSYD LPC
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Gender | Female
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Dates
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Enumeration Date | 11/02/2006
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Last Update Date | 05/26/2008
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Provider Practice Location Address
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Address Line | 1615 E WARNER RD SUITE 1
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City | TEMPE
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State | AZ
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Zip | 85284-4500
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Country | US
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Telephone | 480-368-2827
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Fax |
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Provider Business Mailing Address
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Address Line | PO BOX 9400
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City | SCOTTSDALE
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State | AZ
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Zip | 85252-9400
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Country | US
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Telephone | 480-368-2827
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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 | 101YM0800X
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Taxonomy Name | Mental Health Counselor
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License Number | LPC 2366
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License Number State | AZ
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