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General NPI Number Information
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NPI Number | 1437360773
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Entity Type | Organization
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Legal Business Name | CRAWFORD THERAPEUTIC SERVICES, INC
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Dates
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Enumeration Date | 05/25/2007
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Last Update Date | 08/22/2020
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Provider Practice Location Address
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Address Line | 706 CHARLES ALLEN DR NE APT 7
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City | ATLANTA
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State | GA
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Zip | 30308-2081
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Country | US
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Telephone | 404-452-8843
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Fax |
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Provider Business Mailing Address
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Address Line | 706 CHARLES ALLEN DR NE APT 7
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City | ATLANTA
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State | GA
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Zip | 30308-2081
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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 | OT
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Name | CLAIRE CRAWFORD
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Credential | OT
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Telephone | 404-452-8843
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 225X00000X
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Taxonomy Name | Occupational Therapist
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License Number | OT00312
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License Number State | GA
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