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General NPI Number Information
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NPI Number | 1396808846
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Entity Type | Individual
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Provider Name | LORI L CRAWFORD LISW-CP
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Gender | Female
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Dates
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Enumeration Date | 12/18/2006
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Last Update Date | 06/16/2023
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Provider Practice Location Address
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Address Line | 609 E MAIN ST
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City | DUNCAN
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State | SC
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Zip | 29334-9132
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Country | US
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Telephone | 864-357-9254
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Fax | 864-661-0099
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Provider Business Mailing Address
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Address Line | PO BOX 502
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City | REIDVILLE
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State | SC
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Zip | 29375-0502
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Country | US
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Telephone | 864-357-9254
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Fax | 864-661-0099
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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 | 1041C0700X
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Taxonomy Name | Clinical Social Worker
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License Number | 11233
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License Number State | SC
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