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General NPI Number Information
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NPI Number | 1568689388
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Entity Type | Organization
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Legal Business Name | CRAWFORD CHIROPRACTIC INC
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Dates
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Enumeration Date | 04/20/2007
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Last Update Date | 07/30/2014
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Provider Practice Location Address
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Address Line | 1046 GEER RD
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City | TURLOCK
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State | CA
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Zip | 95380-3316
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Country | US
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Telephone | 209-216-5588
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Fax | 888-701-7886
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Provider Business Mailing Address
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Address Line | 1046 GEER RD
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City | TURLOCK
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State | CA
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Zip | 95380-3316
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Country | US
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Telephone | 209-216-5588
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Fax | 888-701-7886
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Authorized Official
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Title or Position | PRESIDENT
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Name | DR. KERRY LANE CRAWFORD
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Credential | DC
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Telephone | 209-216-5588
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 111N00000X
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Taxonomy Name | Chiropractor
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License Number | DC27906
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License Number State | CA
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