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General NPI Number Information
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NPI Number | 1932903473
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Entity Type | Organization
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Legal Business Name | CRAWFORD EXPRESS SERVICE
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Dates
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Enumeration Date | 04/03/2025
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Last Update Date | 04/03/2025
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Provider Practice Location Address
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Address Line | 1025 14 1/2 ST
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City | ROCK ISLAND
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State | IL
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Zip | 61201-2533
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Country | US
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Telephone | 309-235-8808
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Fax |
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Provider Business Mailing Address
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Address Line | 1055 N DIVISION
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City | DAVENPORT
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State | IA
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Zip | 52806
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Country | US
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Telephone | 309-235-8088
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Fax |
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Authorized Official
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Title or Position | ADMINISTRATIVE DIRECTOR
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Name | SHANICA CRAWFORD
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Credential | CNA NURSE ASSISTANT
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Telephone | 309-235-8088
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 342000000X
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Taxonomy Name | Transportation Network Company
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License Number |
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License Number State |
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