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General NPI Number Information
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NPI Number | 1770632085
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Entity Type | Organization
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Legal Business Name | DR. KEITH H. CROWE, P.C.
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Dates
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Enumeration Date | 01/09/2007
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Last Update Date | 08/22/2020
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Provider Practice Location Address
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Address Line | 505 CORPORATE CENTER DR SUITE 101
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City | STOCKBRIDGE
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State | GA
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Zip | 30281-7255
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Country | US
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Telephone | 770-507-5226
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Fax | 770-507-5767
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Provider Business Mailing Address
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Address Line | 505 CORPORATE CENTER DR SUITE 101
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City | STOCKBRIDGE
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State | GA
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Zip | 30281-7255
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Country | US
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Telephone | 770-507-5226
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Fax | 770-507-5767
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Authorized Official
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Title or Position | PRESIDENT
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Name | DR. KEITH HUGH CROWE
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Credential | B.S., D.C.
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Telephone | 770-507-5226
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 111N00000X
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Taxonomy Name | Chiropractor
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License Number | CHIR006406
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License Number State | GA
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