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General NPI Number Information
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NPI Number | 1619925922
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Entity Type | Organization
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Legal Business Name | CRAWFORD CENTER, INC.
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Dates
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Enumeration Date | 05/05/2006
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Last Update Date | 08/22/2020
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Provider Practice Location Address
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Address Line | 3521 W BROWARD BLVD THIRD FLOOR
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City | FT LAUDERDALE
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State | FL
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Zip | 33312-1048
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Country | US
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Telephone | 954-587-1008
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Fax |
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Provider Business Mailing Address
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Address Line | 3521 W BROWARD BLVD THIRD FLOOR
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City | FT LAUDERDALE
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State | FL
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Zip | 33312-1048
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Country | US
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Telephone | 954-587-1008
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Fax |
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Authorized Official
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Title or Position | C.O.O/GENERAL COUNSEL
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Name | MR. EDUARDO R. LACASA
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Credential | JD
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Telephone | 954-587-1008
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 251V00000X
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Taxonomy Name | Voluntary or Charitable Agency
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License Number | N95000004564
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License Number State | FL
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