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General NPI Number Information
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NPI Number | 1538165287
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Entity Type | Individual
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Provider Name | JAY ANTON CROCKETT M.D.
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Gender | Male
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Dates
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Enumeration Date | 06/27/2005
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Last Update Date | 02/02/2018
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Provider Practice Location Address
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Address Line | 60 BEAR DR
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City | GREENVILLE
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State | SC
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Zip | 29605-4458
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Country | US
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Telephone | 864-269-5500
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Fax | 864-269-8568
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Provider Business Mailing Address
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Address Line | 1 INDEPENDENCE PT STE 212
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City | GREENVILLE
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State | SC
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Zip | 29615-4536
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Country | US
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Telephone | 864-797-6303
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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 | 208C00000X
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Taxonomy Name | Colon & Rectal Surgery Physician
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License Number | 20317
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License Number State | SC
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