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General NPI Number Information
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NPI Number | 1861340465
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Entity Type | Organization
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Legal Business Name | CRAWFORD ORTHODONTICS, SC
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Dates
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Enumeration Date | 03/19/2026
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Last Update Date | 03/19/2026
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Provider Practice Location Address
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Address Line | 7851 COOPER RD
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City | KENOSHA
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State | WI
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Zip | 53142-4181
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Country | US
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Telephone | 262-694-5272
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Fax | 262-694-3121
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Provider Business Mailing Address
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Address Line | 7851 COOPER RD
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City | KENOSHA
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State | WI
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Zip | 53142-4181
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Country | US
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Telephone | 262-694-5272
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Fax | 262-694-3121
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Authorized Official
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Title or Position | FINANCIAL COORDINATOR
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Name | JENNIFER PREBLE
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Credential |
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Telephone | 262-694-5272
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 1223X0400X
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Taxonomy Name | Orthodontics and Dentofacial Orthopedics Dentistry
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License Number |
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License Number State |
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