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General NPI Number Information
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NPI Number | 1699166751
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Entity Type | Organization
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Legal Business Name | CRAWFORD CHIROPRACTIC, PA
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Dates
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Enumeration Date | 02/11/2015
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Last Update Date | 02/11/2015
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Provider Practice Location Address
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Address Line | 1109 SUMMIT AVE
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City | GREENSBORO
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State | NC
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Zip | 27405-6747
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Country | US
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Telephone | 336-373-8344
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Fax | 336-373-8346
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Provider Business Mailing Address
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Address Line | 1109 SUMMIT AVE
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City | GREENSBORO
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State | NC
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Zip | 27405-6747
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Country | US
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Telephone | 336-373-8344
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Fax | 336-373-8346
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Authorized Official
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Title or Position | PRESIDENT/DOCTOR
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Name | ANTHONY CRAWFORD
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Credential | DC
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Telephone | 336-373-8344
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 111N00000X
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Taxonomy Name | Chiropractor
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License Number | 2154
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License Number State | NC
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