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General NPI Number Information
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NPI Number | 1447818679
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Entity Type | Individual
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Provider Name | STEPHEN M CRAWFORD DO
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Gender | Male
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Dates
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Enumeration Date | 06/03/2019
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Last Update Date | 10/30/2025
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Provider Practice Location Address
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Address Line | 2309 E EVESHAM RD STE 201A
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City | VOORHEES
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State | NJ
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Zip | 08043-1559
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Country | US
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Telephone | 856-325-5400
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Fax |
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Provider Business Mailing Address
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Address Line | 301 LIPPINCOTT DR STE 410
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City | MARLTON
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State | NJ
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Zip | 08053-4197
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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 |
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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 | LL82196
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License Number State | SC
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Taxonomy #2
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Taxonomy Code | 207UN0901X
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Taxonomy Name | Nuclear Cardiology Physician
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License Number | 25MB11519200
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License Number State | NJ
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