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General NPI Number Information
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NPI Number | 1851826960
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Entity Type | Individual
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Provider Name | RICHARD MATTHEW CRAWFORD II PHARMD
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Gender | Male
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Dates
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Enumeration Date | 04/26/2017
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Last Update Date | 04/26/2017
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Provider Practice Location Address
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Address Line | 2419 WASHINGTON PIKE
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City | KNOXVILLE
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State | TN
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Zip | 37917-3321
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Country | US
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Telephone | 865-524-3453
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Fax | 865-524-9925
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Provider Business Mailing Address
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Address Line | 2419 WASHINGTON PIKE
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City | KNOXVILLE
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State | TN
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Zip | 37917-3321
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Country | US
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Telephone | 865-524-3453
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Fax | 865-524-9925
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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 | 183500000X
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Taxonomy Name | Pharmacist
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License Number | 39488
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License Number State | TN
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