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General NPI Number Information
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NPI Number | 1467402230
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Entity Type | Individual
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Provider Name | MARY ANN CROWDER EDD, LMHC, NCC, CAP
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Gender | Female
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Dates
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Enumeration Date | 05/11/2006
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Last Update Date | 01/14/2013
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Provider Practice Location Address
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Address Line | 698 DRUID PARK DR W
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City | CLEARWATER
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State | FL
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Zip | 33764-6309
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Country | US
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Telephone | 727-744-5477
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Fax | 727-535-6020
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Provider Business Mailing Address
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Address Line | 698 DRUID PARK DRIVE WEST
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City | CLEARWATER
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State | FL
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Zip | 33764-6308
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Country | US
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Telephone | 727-744-5477
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Fax | 727-535-6020
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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 | 101YA0400X
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Taxonomy Name | Addiction (Substance Use Disorder) Counselor
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License Number | MH6468, CAP 1650
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License Number State | FL
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Taxonomy #2
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Taxonomy Code | 101YM0800X
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Taxonomy Name | Mental Health Counselor
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License Number | MH6468
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License Number State | FL
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