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NPI 1699743138

NPI 1699743138 : MICHAELE A. CRAWFORD, DPM, LLC : BUTLER, PA

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General NPI Number Information
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    NPI Number           |    1699743138
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    Entity Type          |    Organization 
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    Legal Business Name  |    MICHAELE A. CRAWFORD, DPM, LLC 
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Dates
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    Enumeration Date     |    03/10/2006
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    Last Update Date     |    12/20/2024
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Provider Practice Location Address
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    Address Line         |    164 POINT PLZ SUITE 203
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    City                 |    BUTLER
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    State                |    PA
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    Zip                  |    16001-2540
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    Country              |    US
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    Telephone            |    724-282-0900
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    Fax                  |    724-284-1233
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Provider Business Mailing Address
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    Address Line         |    164 POINT PLZ SUITE 203
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    City                 |    BUTLER
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    State                |    PA
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    Zip                  |    16001-2540
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    Country              |    US
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    Telephone            |    724-282-0900
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    Fax                  |    724-284-1233
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Authorized Official
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    Title or Position    |    OWNER
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    Name                 |    DR. MICHAELE A CRAWFORD 
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    Credential           |    DPM
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    Telephone            |    724-282-0900
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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    Taxonomy Code        |    213E00000X
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    Taxonomy Name        |    Podiatrist
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    License Number       |    
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    License Number State |    
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