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General NPI Number Information
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NPI Number | 1699491951
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Entity Type | Individual
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Provider Name | ROXANNE COLLETTE CRAWFORD MEDICAL ASSISTANT
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Gender | Female
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Dates
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Enumeration Date | 10/18/2022
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Last Update Date | 10/18/2022
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Provider Practice Location Address
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Address Line | 3200 E EISENHOWER PKWY
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City | ANN ARBOR
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State | MI
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Zip | 48108-3231
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Country | US
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Telephone | 734-677-0070
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Fax | 734-428-0408
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Provider Business Mailing Address
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Address Line | 9020 FOWLER RD
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City | HORTON
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State | MI
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Zip | 49246-9530
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Country | US
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Telephone | 734-645-0942
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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 | 261QM0850X
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Taxonomy Name | Adult Mental Health Clinic/Center
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License Number |
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License Number State |
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