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General NPI Number Information
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NPI Number | 1962565515
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Entity Type | Individual
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Provider Name | JOSEPH J CROWLEY PH.D., L.C.P.
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Gender | Male
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Dates
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Enumeration Date | 12/18/2006
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Last Update Date | 03/19/2009
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Provider Practice Location Address
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Address Line | 6714 PATTERSON AVE SUITE 103
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City | RICHMOND
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State | VA
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Zip | 23226-3432
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Country | US
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Telephone | 804-285-8500
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Fax |
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Provider Business Mailing Address
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Address Line | 1809 LOGAN ST
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City | RICHMOND
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State | VA
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Zip | 23235-4247
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Country | US
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Telephone | 804-323-1464
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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 | 103TC0700X
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Taxonomy Name | Clinical Psychologist
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License Number | 329
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License Number State | VA
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