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General NPI Number Information
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NPI Number | 1821260340
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Entity Type | Organization
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Legal Business Name | JOHN J. CRUMPTON DMD, P.C.
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Dates
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Enumeration Date | 03/25/2008
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Last Update Date | 06/20/2008
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Provider Practice Location Address
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Address Line | 1018 S MAIN ST
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City | CLEVELAND
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State | GA
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Zip | 30528-1419
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Country | US
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Telephone | 706-865-0357
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Fax | 706-348-1828
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Provider Business Mailing Address
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Address Line | 1018 S MAIN ST
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City | CLEVELAND
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State | GA
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Zip | 30528-1419
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Country | US
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Telephone | 706-865-0357
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Fax | 706-348-1828
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Authorized Official
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Title or Position | OFFICE MANAGER
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Name | MS. TAMMY RENEE DRAWDY
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Credential |
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Telephone | 706-865-0357
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 1223G0001X
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Taxonomy Name | General Practice Dentistry
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License Number | DN009672
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License Number State | GA
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Taxonomy #2
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Taxonomy Code | 1223G0001X
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Taxonomy Name | General Practice Dentistry
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License Number | DN009444
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License Number State | GA
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Taxonomy #3
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Taxonomy Code | 1223G0001X
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Taxonomy Name | General Practice Dentistry
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License Number | DN012314
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License Number State | GA
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