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General NPI Number Information
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NPI Number | 1659566271
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Entity Type | Organization
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Legal Business Name | KEVIN CRAWFORD OD AND JEFF WELTMER OD PA
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Dates
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Enumeration Date | 09/06/2007
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Last Update Date | 08/04/2015
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Provider Practice Location Address
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Address Line | 1295 E 151ST ST STE 3
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City | OLATHE
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State | KS
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Zip | 66062-3429
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Country | US
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Telephone | 913-782-4983
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Fax | 913-390-5663
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Provider Business Mailing Address
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Address Line | 1295 E 151ST ST STE 3
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City | OLATHE
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State | KS
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Zip | 66062-3429
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Country | US
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Telephone | 913-782-4983
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Fax | 913-390-5663
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Authorized Official
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Title or Position | RECEPTION
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Name | ANNE ALEXANDER
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Credential |
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Telephone | 913-782-4983
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 152W00000X
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Taxonomy Name | Optometrist
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License Number | 1043-2
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License Number State | KS
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