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General NPI Number Information
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NPI Number | 1639194954
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Entity Type | Individual
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Provider Name | ZACHARY AARON CROW PT
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Gender | Male
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Dates
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Enumeration Date | 07/13/2006
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Last Update Date | 10/01/2008
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Provider Practice Location Address
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Address Line | 2921 HAWKINS DR
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City | SEARCY
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State | AR
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Zip | 72143-4801
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Country | US
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Telephone | 501-268-2513
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Fax | 501-268-2513
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Provider Business Mailing Address
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Address Line | 2750 GLOHAVEN DR
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City | CONWAY
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State | AR
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Zip | 72034-9662
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Country | US
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Telephone | 501-328-5113
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Fax | 501-328-5113
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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 | 174400000X
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Taxonomy Name | Specialist
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License Number | PT2343
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License Number State | AR
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