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General NPI Number Information
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NPI Number | 1568822336
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Entity Type | Organization
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Legal Business Name | CRAWFORD CLINIC PLLC
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Dates
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Enumeration Date | 03/07/2016
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Last Update Date | 03/07/2016
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Provider Practice Location Address
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Address Line | 1866 E 15TH ST
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City | TULSA
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State | OK
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Zip | 74104-4611
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Country | US
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Telephone | 918-392-7880
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Fax |
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Provider Business Mailing Address
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Address Line | 1866 E 15TH ST
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City | TULSA
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State | OK
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Zip | 74104-4611
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Country | US
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Telephone |
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Fax |
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Authorized Official
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Title or Position | PRESIDENT
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Name | DREW CRAWFORD
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Credential | MD
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Telephone | 918-392-7880
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207RG0100X
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Taxonomy Name | Gastroenterology Physician
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License Number |
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License Number State | OK
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