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General NPI Number Information
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NPI Number | 1447296173
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Entity Type | Individual
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Provider Name | PATRICIA M CROWE MD
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Gender | Female
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Dates
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Enumeration Date | 06/21/2006
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Last Update Date | 07/10/2012
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Provider Practice Location Address
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Address Line | 2479 PINE HOLLOW TRL
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City | BRIGHTON
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State | MI
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Zip | 48114-8960
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Country | US
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Telephone | 810-599-4250
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Fax |
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Provider Business Mailing Address
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Address Line | 2479 PINE HOLLOW TRL
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City | BRIGHTON
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State | MI
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Zip | 48114-8960
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Country | US
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Telephone | 810-599-4250
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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 | 207PE0004X
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Taxonomy Name | Emergency Medical Services (Emergency Medicine) Physician
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License Number | 050460
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License Number State | MI
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Taxonomy #2
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Taxonomy Code | 207Q00000X
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Taxonomy Name | Family Medicine Physician
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License Number | 4301050460
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License Number State | MI
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