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General NPI Number Information
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NPI Number | 1356630065
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Entity Type | Individual
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Provider Name | BENJAMIN PAUL CRAWSHAW MD
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Gender | Male
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Dates
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Enumeration Date | 04/04/2011
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Last Update Date | 07/29/2024
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Provider Practice Location Address
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Address Line | 6363 FRANCE AVE S STE 400
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City | EDINA
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State | MN
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Zip | 55435-2142
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Country | US
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Telephone | 651-312-1700
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Fax |
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Provider Business Mailing Address
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Address Line | 3500 AMERICAN BLVD W STE 300
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City | BLOOMINGTON
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State | MN
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Zip | 55431-4442
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Country | US
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Telephone | 952-512-5600
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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 | 208600000X
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Taxonomy Name | Surgery Physician
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License Number | 35.140112
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License Number State | OH
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Taxonomy #2
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Taxonomy Code | 208C00000X
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Taxonomy Name | Colon & Rectal Surgery Physician
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License Number | 63795
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License Number State | MN
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