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General NPI Number Information
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NPI Number | 1437261815
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Entity Type | Individual
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Provider Name | DAVID CRITTENDEN MD M.D.
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Gender | Male
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Dates
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Enumeration Date | 08/31/2006
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Last Update Date | 08/05/2008
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Provider Practice Location Address
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Address Line | 123 E CASS ST
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City | GREENVILLE
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State | MI
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Zip | 48838-1905
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Country | US
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Telephone | 616-225-8707
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Fax | 616-225-8967
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Provider Business Mailing Address
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Address Line | 11604 BALDWIN RD
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City | GREENVILLE
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State | MI
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Zip | 48838
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Country | US
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Telephone | 616-894-6290
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Fax | 616-225-8967
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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 | 207R00000X
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Taxonomy Name | Internal Medicine Physician
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License Number | DC062834
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License Number State | MI
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Taxonomy #2
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Taxonomy Code | 208000000X
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Taxonomy Name | Pediatrics Physician
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License Number | DC062834
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License Number State | MI
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