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General NPI Number Information
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NPI Number | 1952424178
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Entity Type | Organization
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Legal Business Name | THOMAS N. CRUMBLEY, M.D., P.C.
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Dates
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Enumeration Date | 04/10/2007
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Last Update Date | 08/22/2020
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Provider Practice Location Address
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Address Line | 1800 E VAN BUREN ST SLBHC
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City | PHOENIX
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State | AZ
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Zip | 85006-3742
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Country | US
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Telephone | 602-336-2727
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Fax | 480-391-2333
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Provider Business Mailing Address
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Address Line | PO BOX 5747
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City | SCOTTSDALE
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State | AZ
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Zip | 85261-5747
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Country | US
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Telephone | 602-336-2727
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Fax | 480-391-2333
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Authorized Official
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Title or Position | PRESIDENT AND CEO
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Name | DR. THOMAS N. CRUMBLEY
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Credential | M.D., M.B.A.
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Telephone | 602-336-2727
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 2084P0800X
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Taxonomy Name | Psychiatry Physician
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License Number | 17945
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License Number State | AZ
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