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General NPI Number Information
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NPI Number | 1750295713
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Entity Type | Organization
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Legal Business Name | CRAWFORD LONG HOSPITAL
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Dates
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Enumeration Date | 09/29/2026
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Last Update Date | 09/29/2026
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Provider Practice Location Address
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Address Line | 1365 CLIFTON RD NE BLDG A FLOOR 3
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City | ATLANTA
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State | GA
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Zip | 30322-1013
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Country | US
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Telephone | 404-778-5299
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Fax |
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Provider Business Mailing Address
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Address Line | 2201 HENDERSON MILL RD NE
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City | ATLANTA
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State | GA
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Zip | 30345-2711
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Country | US
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Telephone | 404-251-0083
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Fax |
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Authorized Official
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Title or Position | CORPORATE DIRECTOR
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Name | CARLA D CASHIO
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Credential |
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Telephone | 404-686-1811
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 2086S0129X
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Taxonomy Name | Vascular Surgery Physician
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License Number |
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License Number State | NULL
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