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General NPI Number Information
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NPI Number | 1447486865
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Entity Type | Organization
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Legal Business Name | CROWLEY THERAPY GROUP
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Dates
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Enumeration Date | 06/01/2009
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Last Update Date | 08/17/2023
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Provider Practice Location Address
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Address Line | 1322 ELTON RD SUITE I
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City | JENNINGS
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State | LA
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Zip | 70546-4100
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Country | US
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Telephone | 337-824-5488
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Fax | 337-824-5494
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Provider Business Mailing Address
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Address Line | 1113 E NORTHERN AVE
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City | CROWLEY
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State | LA
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Zip | 70526-3035
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Country | US
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Telephone | 337-783-7100
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Fax | 337-783-7104
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Authorized Official
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Title or Position | OFFICE ADMINISTRATOR
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Name | TRACI H PREJEAN
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Credential | CMM
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Telephone | 337-824-5488
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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 |
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License Number State |
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Taxonomy #2
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Taxonomy Code | 225700000X
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Taxonomy Name | Massage Therapist
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License Number |
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License Number State |
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Taxonomy #3
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Taxonomy Code | 225100000X
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Taxonomy Name | Physical Therapist
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License Number |
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License Number State |
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