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General NPI Number Information
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NPI Number | 1457690489
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Entity Type | Individual
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Provider Name | JAMES MICHAEL CRAWFORD PA-C
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Gender | Male
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Dates
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Enumeration Date | 02/12/2013
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Last Update Date | 07/21/2022
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Provider Practice Location Address
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Address Line | 1031 S STATE HIGHWAY 16
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City | FREDERICKSBURG
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State | TX
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Zip | 78624-4472
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Country | US
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Telephone | 830-992-2820
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Fax |
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Provider Business Mailing Address
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Address Line | 205 W WINDCREST ST STE 130
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City | FREDERICKSBURG
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State | TX
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Zip | 78624-4478
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Country | US
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Telephone | 903-530-5576
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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 | 363A00000X
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Taxonomy Name | Physician Assistant
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License Number | PA08182
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License Number State | TX
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