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General NPI Number Information
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NPI Number | 1730117110
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Entity Type | Individual
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Provider Name | WILLIAM CRAWFORD MD
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Gender | Male
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Dates
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Enumeration Date | 06/28/2006
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Last Update Date | 04/18/2019
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Provider Practice Location Address
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Address Line | 532 WEBB BLVD
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City | HAVELOCK
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State | NC
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Zip | 28532-2042
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Country | US
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Telephone | 252-447-7088
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Fax | 252-447-2752
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Provider Business Mailing Address
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Address Line | PO BOX 68
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City | POLLOCKSVILLE
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State | NC
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Zip | 28573-0068
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Country | US
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Telephone | 252-635-3906
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Fax | 252-224-0378
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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 | 207Q00000X
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Taxonomy Name | Family Medicine Physician
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License Number | 11107
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License Number State | NH
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Taxonomy #2
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Taxonomy Code | 208M00000X
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Taxonomy Name | Hospitalist Physician
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License Number | 11107
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License Number State | NH
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Taxonomy #3
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Taxonomy Code | 207Q00000X
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Taxonomy Name | Family Medicine Physician
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License Number | 2018-00658
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License Number State | NC
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