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General NPI Number Information
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NPI Number | 1346521655
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Entity Type | Individual
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Provider Name | RYAN JOHN CRAWFORD AUD
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Gender | Male
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Dates
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Enumeration Date | 08/31/2011
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Last Update Date | 01/25/2024
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Provider Practice Location Address
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Address Line | 2515 FORESIGHT CIR SUITE 200
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City | GRAND JUNCTION
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State | CO
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Zip | 81505-1018
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Country | US
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Telephone | 970-245-2400
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Fax | 970-242-9092
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Provider Business Mailing Address
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Address Line | 2515 FORESIGHT CIR SUITE 200
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City | GRAND JUNCTION
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State | CO
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Zip | 81505-1018
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Country | US
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Telephone | 970-245-2400
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Fax | 970-242-9092
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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 | 231H00000X
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Taxonomy Name | Audiologist
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License Number | 627
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License Number State | CO
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Taxonomy #2
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Taxonomy Code | 231H00000X
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Taxonomy Name | Audiologist
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License Number | AUD.0000627
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License Number State | CO
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