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General NPI Number Information
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NPI Number | 1568316636
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Entity Type | Individual
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Provider Name | DANYELLE JACQUE CRAWFORD
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Gender | Female
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Dates
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Enumeration Date | 02/24/2026
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Last Update Date | 02/24/2026
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Provider Practice Location Address
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Address Line | 1700 CARGO CT
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City | LOUISVILLE
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State | KY
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Zip | 40299-1938
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Country | US
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Telephone | 877-848-9810
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Fax |
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Provider Business Mailing Address
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Address Line | 9610 COOPER CHURCH DR APT 302
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City | LOUISVILLE
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State | KY
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Zip | 40229-1393
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Country | US
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Telephone | 502-557-3467
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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 | 163WA0400X
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Taxonomy Name | Addiction (Substance Use Disorder) Registered Nurse
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License Number | 1156704
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License Number State | KY
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