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General NPI Number Information
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NPI Number | 1396550034
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Entity Type | Individual
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Provider Name | B'NITA JANAI CRAWLEY
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Gender | Female
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Dates
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Enumeration Date | 02/10/2025
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Last Update Date | 02/10/2025
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Provider Practice Location Address
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Address Line | 4105 FABER PLACE DR STE 420
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City | NORTH CHARLESTON
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State | SC
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Zip | 29405-8594
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Country | US
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Telephone | 843-709-8249
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Fax |
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Provider Business Mailing Address
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Address Line | 153 ELDON DR
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City | CAYCE
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State | SC
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Zip | 29033-2756
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Country | US
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Telephone | 803-318-2138
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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 | 235Z00000X
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Taxonomy Name | Speech-Language Pathologist
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License Number | 9151
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License Number State | SC
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