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General NPI Number Information
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NPI Number | 1861211534
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Entity Type | Individual
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Provider Name | ADAM CROUCH DPT
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Gender | Male
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Dates
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Enumeration Date | 10/09/2024
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Last Update Date | 10/09/2024
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Provider Practice Location Address
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Address Line | 3800 W CARLOS FOLGER DR STE 150
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City | COLUMBUS
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State | IN
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Zip | 47201-1336
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Country | US
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Telephone | 812-348-2141
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Fax |
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Provider Business Mailing Address
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Address Line | 2256 HAMPTON DR
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City | FRANKLIN
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State | IN
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Zip | 46131-6804
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Country | US
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Telephone | 812-870-8533
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Fax |
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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 | 225100000X
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Taxonomy Name | Physical Therapist
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License Number |
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License Number State |
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