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General NPI Number Information
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NPI Number | 1700325669
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Entity Type | Individual
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Provider Name | PAMELA S CRAWFORD RDH
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Gender | Female
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Dates
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Enumeration Date | 02/13/2017
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Last Update Date | 02/13/2017
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Provider Practice Location Address
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Address Line | 161 JACKSON ST
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City | LOWELL
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State | MA
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Zip | 01852-2103
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Country | US
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Telephone | 978-746-7732
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Fax |
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Provider Business Mailing Address
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Address Line | 161 JACKSON ST
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City | LOWELL
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State | MA
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Zip | 01852-2103
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Country | US
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Telephone | 978-746-7732
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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 | 124Q00000X
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Taxonomy Name | Dental Hygienist
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License Number | DH88070
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License Number State | MA
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Taxonomy #2
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Taxonomy Code | 124Q00000X
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Taxonomy Name | Dental Hygienist
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License Number | DH1410692-L
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License Number State | MA
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