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General NPI Number Information
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NPI Number | 1811048770
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Entity Type | Organization
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Legal Business Name | CROWLEY CHIROPRACTIC PC
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Dates
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Enumeration Date | 01/16/2007
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Last Update Date | 08/22/2020
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Provider Practice Location Address
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Address Line | 6827 MICHIGAN ST
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City | CASEVILLE
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State | MI
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Zip | 48725-9542
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Country | US
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Telephone | 989-856-4187
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Fax | 989-856-2118
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Provider Business Mailing Address
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Address Line | 6827 MICHIGAN ST PO BOX 1042
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City | CASEVILLE
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State | MI
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Zip | 48725-9542
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Country | US
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Telephone | 989-856-4187
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Fax | 989-856-2118
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Authorized Official
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Title or Position | OWNER
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Name | DR. JEFFREY LAWRENCE CROWLEY
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Credential | B.S., D.C
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Telephone | 989-856-4187
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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 | HV008811
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License Number State | MI
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Taxonomy #2
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Taxonomy Code | 111N00000X
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Taxonomy Name | Chiropractor
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License Number | EY009186
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License Number State | MI
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Taxonomy #3
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Taxonomy Code | 111N00000X
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Taxonomy Name | Chiropractor
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License Number | JC006772
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License Number State | MI
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