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General NPI Number Information
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NPI Number | 1760733240
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Entity Type | Individual
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Provider Name | ELIZABETH OZIMEK CROWLEY M.D.
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Gender | Female
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Dates
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Enumeration Date | 09/25/2012
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Last Update Date | 09/25/2012
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Provider Practice Location Address
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Address Line | 545 ISLAND RD SUITE 2B
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City | RAMSEY
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State | NJ
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Zip | 07446-2813
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Country | US
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Telephone | 201-995-1004
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Fax |
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Provider Business Mailing Address
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Address Line | 520 HEIGHTS RD
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City | RIDGEWOOD
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State | NJ
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Zip | 07450-1514
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Country | US
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Telephone | 201-493-9935
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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 | 2084P0800X
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Taxonomy Name | Psychiatry Physician
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License Number | 25MA07191300
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License Number State | NJ
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