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General NPI Number Information
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NPI Number | 1467742866
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Entity Type | Individual
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Provider Name | KATHERINE SEIPEL CRAWFORD MD
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Gender | Female
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Dates
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Enumeration Date | 04/19/2011
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Last Update Date | 06/25/2019
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Provider Practice Location Address
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Address Line | 15 DANIEL DR
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City | GULF BREEZE
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State | FL
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Zip | 32561
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Country | US
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Telephone | 850-932-5348
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Fax | 850-932-7740
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Provider Business Mailing Address
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Address Line | PO BOX 2699
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City | PENSACOLA
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State | FL
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Zip | 32513-2699
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Country | US
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Telephone | 850-475-4500
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Fax | 850-475-4619
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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 | 208000000X
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Taxonomy Name | Pediatrics Physician
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License Number | 01073924A
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License Number State | IN
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Taxonomy #2
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Taxonomy Code | 208000000X
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Taxonomy Name | Pediatrics Physician
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License Number | ME140315
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License Number State | FL
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