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General NPI Number Information
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NPI Number | 1790635910
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Entity Type | Organization
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Legal Business Name | EJ CRAWFORD ENTERPRISES, LLC
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Dates
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Enumeration Date | 01/28/2026
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Last Update Date | 02/05/2026
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Provider Practice Location Address
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Address Line | 216 BASSWOOD AVE
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City | SUMMERVILLE
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State | SC
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Zip | 29483-4450
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Country | US
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Telephone | 843-452-1824
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Fax |
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Provider Business Mailing Address
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Address Line | 216 BASSWOOD AVE
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City | SUMMERVILLE
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State | SC
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Zip | 29483-4450
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Country | US
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Telephone | 854-296-2273
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Fax |
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Authorized Official
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Title or Position | OWNER
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Name | MRS. ELONA COLETTE CRAWFORD
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Credential |
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Telephone | 843-452-1824
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 235Z00000X
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Taxonomy Name | Speech-Language Pathologist
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License Number |
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License Number State |
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