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General NPI Number Information
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NPI Number | 1629079793
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Entity Type | Individual
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Provider Name | JAMES M CRUMB M.D.
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Gender | Male
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Dates
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Enumeration Date | 08/10/2005
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Last Update Date | 07/21/2025
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Provider Practice Location Address
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Address Line | 390 BAYMOOR WAY
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City | LAKE MARY
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State | FL
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Zip | 32746-7023
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Country | US
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Telephone | 689-219-3922
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Fax |
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Provider Business Mailing Address
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Address Line | PO BOX 770297
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City | WINTER GARDEN
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State | FL
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Zip | 34777-0297
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Country | US
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Telephone | 251-345-0773
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Fax | 251-236-7345
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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 | 2081P0004X
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Taxonomy Name | Spinal Cord Injury Medicine Physician
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License Number | 24535
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License Number State | AL
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Taxonomy #2
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Taxonomy Code | 2081P2900X
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Taxonomy Name | Pain Medicine (Physical Medicine & Rehabilitation) Physician
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License Number | 24535
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License Number State | AL
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Taxonomy #3
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Taxonomy Code | 208100000X
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Taxonomy Name | Physical Medicine & Rehabilitation Physician
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License Number | ME172910
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License Number State | FL
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