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General NPI Number Information
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NPI Number | 1720551484
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Entity Type | Individual
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Provider Name | JENNIFER CROWDER
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Gender | Female
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Dates
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Enumeration Date | 01/05/2019
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Last Update Date | 01/05/2019
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Provider Practice Location Address
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Address Line | 3625 MARSH RD
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City | STOW
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State | OH
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Zip | 44224-5823
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Country | US
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Telephone | 330-306-0060
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Fax |
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Provider Business Mailing Address
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Address Line | 1167 SPRUCEWOOD ST SE
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City | NORTH CANTON
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State | OH
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Zip | 44720-4373
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Country | US
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Telephone |
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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 | 2251N0400X
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Taxonomy Name | Neurology Physical Therapist
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License Number |
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License Number State |
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