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General NPI Number Information
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NPI Number | 1447213863
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Entity Type | Individual
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Provider Name | HEATHER CRAWFORD D.P.M
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Gender | Female
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Dates
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Enumeration Date | 04/07/2006
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Last Update Date | 03/07/2023
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Provider Practice Location Address
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Address Line | 125 E MAIN ST UNIT 4D
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City | LITTLE EGG HARBOR TWP
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State | NJ
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Zip | 08087-2669
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Country | US
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Telephone | 609-296-3533
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Fax | 609-296-4742
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Provider Business Mailing Address
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Address Line | 125 E MAIN ST UNIT 4D
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City | LITTLE EGG HARBOR
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State | NJ
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Zip | 08087-2669
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Country | US
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Telephone | 609-296-3533
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Fax |
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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 | 213E00000X
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Taxonomy Name | Podiatrist
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License Number | 25MD00248400
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License Number State | NJ
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