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General NPI Number Information
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NPI Number | 1407128788
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Entity Type | Organization
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Legal Business Name | CROWELL & ASSOCIATES, LLC
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Dates
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Enumeration Date | 02/02/2012
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Last Update Date | 02/02/2012
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Provider Practice Location Address
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Address Line | 517 18TH ST N
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City | BESSEMER
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State | AL
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Zip | 35020-4843
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Country | US
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Telephone | 205-386-0354
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Fax |
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Provider Business Mailing Address
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Address Line | PO BOX 55034
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City | BIRMINGHAM
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State | AL
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Zip | 35255-5034
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Country | US
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Telephone | 205-386-0354
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Fax |
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Authorized Official
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Title or Position | OWNER
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Name | NATHAN ALLEN CROWELL
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Credential | LCSW ,PIP
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Telephone | 205-478-2890
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 251S00000X
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Taxonomy Name | Community/Behavioral Health Agency
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License Number | 2323C
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License Number State | AL
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