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General NPI Number Information
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NPI Number | 1952100174
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Entity Type | Individual
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Provider Name | NATHAN CRAWFORD LSW,LCADC
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Gender | Male
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Dates
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Enumeration Date | 03/10/2025
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Last Update Date | 03/10/2025
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Provider Practice Location Address
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Address Line | 315A JUTLAND DR
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City | MONROE TOWNSHIP
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State | NJ
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Zip | 08831-7667
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Country | US
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Telephone | 201-362-9360
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Fax |
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Provider Business Mailing Address
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Address Line | 315A JUTLAND DR
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City | MONROE TOWNSHIP
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State | NJ
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Zip | 08831-7667
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Country | US
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Telephone | 201-362-9360
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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 | 101YA0400X
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Taxonomy Name | Addiction (Substance Use Disorder) Counselor
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License Number | 37LC0023100
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License Number State |
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Taxonomy #2
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Taxonomy Code | 101YA0400X
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Taxonomy Name | Addiction (Substance Use Disorder) Counselor
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License Number | 37LC00231000
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License Number State | NJ
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