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NPI 1578638912

NPI 1578638912 : NED J. CROWLEY P.C. : WINONA, MN

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General NPI Number Information
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    NPI Number           |    1578638912
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    Entity Type          |    Organization 
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    Legal Business Name  |    NED J. CROWLEY P.C. 
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Dates
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    Enumeration Date     |    11/21/2006
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    Last Update Date     |    08/04/2009
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Provider Practice Location Address
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    Address Line         |    111 MARKET STREET SUITE 1C 
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    City                 |    WINONA
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    State                |    MN
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    Zip                  |    55987
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    Country              |    US
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    Telephone            |    507-453-9229
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    Fax                  |    507-453-0227
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Provider Business Mailing Address
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    Address Line         |    111 MARKET STREET SUITE 1C 
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    City                 |    WINONA
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    State                |    MN
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    Zip                  |    55987
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    Country              |    US
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    Telephone            |    507-453-9229
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    Fax                  |    507-453-0227
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Authorized Official
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    Title or Position    |    PRESIDENT
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    Name                 |    MR. NED JAMES CROWLEY 
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    Credential           |    DC
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    Telephone            |    507-453-9229
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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       |    1832
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    License Number State |    WI
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Taxonomy #2
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    Taxonomy Code        |    111N00000X
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    Taxonomy Name        |    Chiropractor
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    License Number       |    1978
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    License Number State |    MN
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