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NPI 1962536045

NPI 1962536045 : NED CROWLEY DC : WINONA, MN

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General NPI Number Information
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    NPI Number           |    1962536045
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    Entity Type          |    Individual 
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    Provider Name        |    NED CROWLEY DC
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    Gender               |    Male 
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Dates
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    Enumeration Date     |    03/14/2007
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    Last Update Date     |    07/08/2007
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Provider Practice Location Address
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    Address Line         |    111 MARKET ST SUITE 1C
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    City                 |    WINONA
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    State                |    MN
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    Zip                  |    55987-5532
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    Country              |    US
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    Telephone            |    507-453-9229
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    Fax                  |    507-453-0227
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Provider Business Mailing Address
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    Address Line         |    W1145 BADGER RD 
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    City                 |    FOUNTAIN CITY
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    State                |    WI
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    Zip                  |    54629-7915
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    Country              |    US
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    Telephone            |    
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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        |    111N00000X
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    Taxonomy Name        |    Chiropractor
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    License Number       |    1978
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    License Number State |    MN
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