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General NPI Number Information
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NPI Number | 1750320834
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Entity Type | Individual
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Provider Name | JULIE A. CROWE PSY.D.
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Gender | Female
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Dates
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Enumeration Date | 06/05/2006
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Last Update Date | 04/11/2023
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Provider Practice Location Address
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Address Line | 852 AETNA ST
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City | SALEM
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State | OH
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Zip | 44460-3855
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Country | US
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Telephone | 770-403-5914
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Fax |
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Provider Business Mailing Address
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Address Line | 852 AETNA ST
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City | SALEM
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State | OH
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Zip | 44460-3855
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Country | US
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Telephone | 770-403-5914
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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 | 103TC0700X
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Taxonomy Name | Clinical Psychologist
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License Number | PS018351
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License Number State | PA
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