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NPI Code Detail

MEDICARE: ALLISON NICOLE CRAWFORD

MEDICARE:   ALLISON NICOLE CRAWFORD
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1374U00000XHome Health Aide

General Provider Information

NPI Number : 1164784211
Entity Type Code : Individual
Provider Name (Legal Business Name) : ALLISON NICOLE CRAWFORD
Provider Business Mailing Address
First Line : 784 FAIRWOOD AVE
Second Line :
City : COLUMBUS
State : OH
Zip : 43205-3033
Country : US
Telephone Number : 614-353-1844
Fax Number :
Provider Business Practice Location Address
First Line : 784 FAIRWOOD AVE
Second Line :
City : COLUMBUS
State : OH
Zip : 43205-3033
Country : US
Telephone Number : 614-353-1844
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 06/14/2012
Last Update Date : 06/14/2012

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Directions to “ ALLISON NICOLE CRAWFORD ” Practice Location

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