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General NPI Number Information
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NPI Number | 1427237171
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Entity Type | Organization
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Legal Business Name | DAWN CROSSMAN INC
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Dates
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Enumeration Date | 10/30/2007
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Last Update Date | 06/20/2008
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Provider Practice Location Address
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Address Line | 11075 VILLAGE SQUARE LN
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City | FISHERS
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State | IN
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Zip | 46038-4552
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Country | US
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Telephone | 317-589-8887
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Fax | 317-598-8680
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Provider Business Mailing Address
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Address Line | 11075 VILLAGE SQUARE LN
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City | FISHERS
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State | IN
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Zip | 46038-4552
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Country | US
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Telephone |
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Fax |
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Authorized Official
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Title or Position | PRESIDENT
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Name | DAWN MURIEL CROSSMAN
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Credential |
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Telephone | 317-598-8887
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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 | 34004499A
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License Number State | IN
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