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NPI 1639468986

NPI 1639468986 : LAURA EMILY CROWLEY : SCOTTSDALE, AZ

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General NPI Number Information
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    NPI Number           |    1639468986
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    Entity Type          |    Individual 
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    Provider Name        |    LAURA EMILY CROWLEY
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    Gender               |    Female 
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Dates
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    Enumeration Date     |    04/06/2011
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    Last Update Date     |    04/10/2013
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Provider Practice Location Address
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    Address Line         |    8300 N HAYDEN RD SUITE A104
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    City                 |    SCOTTSDALE
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    State                |    AZ
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    Zip                  |    85258-2458
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    Country              |    US
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    Telephone            |    480-247-2070
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    Fax                  |    280-247-2477
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Provider Business Mailing Address
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    Address Line         |    2530 N EVERGREEN ST 
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    City                 |    PHOENIX
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    State                |    AZ
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    Zip                  |    85006-1132
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    Country              |    US
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    Telephone            |    860-227-2312
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    Fax                  |    
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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        |    235Z00000X
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    Taxonomy Name        |    Speech-Language Pathologist
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    License Number       |    
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    License Number State |    
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