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General NPI Number Information
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NPI Number | 1861753386
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Entity Type | Individual
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Provider Name | ANDREW RICHARD CRICHLOW M.D.
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Gender | Male
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Dates
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Enumeration Date | 05/31/2012
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Last Update Date | 06/24/2022
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Provider Practice Location Address
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Address Line | 18229 DUPONT BLVD
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City | GEORGETOWN
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State | DE
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Zip | 19947-3127
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Country | US
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Telephone | 302-514-7246
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Fax | 302-253-8028
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Provider Business Mailing Address
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Address Line | 18229 DUPONT BLVD
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City | GEORGETOWN
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State | DE
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Zip | 19947-3127
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Country | US
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Telephone | 302-514-7246
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Fax | 302-253-8028
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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 | 207LP2900X
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Taxonomy Name | Pain Medicine (Anesthesiology) Physician
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License Number | 0101262218
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License Number State | VA
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