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General NPI Number Information
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NPI Number | 1053627331
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Entity Type | Organization
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Legal Business Name | PAULA M CRONE, DO PC
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Dates
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Enumeration Date | 08/25/2010
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Last Update Date | 08/25/2010
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Provider Practice Location Address
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Address Line | 9200 SE 91ST AVE STE 220
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City | HAPPY VALLEY
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State | OR
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Zip | 97086-3756
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Country | US
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Telephone | 503-239-7030
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Fax | 503-329-7220
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Provider Business Mailing Address
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Address Line | 9200 SE 91ST AVE STE 220
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City | HAPPY VALLEY
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State | OR
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Zip | 97086-3756
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Country | US
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Telephone | 503-239-7030
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Fax | 503-329-7220
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Authorized Official
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Title or Position | PRESIDENT
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Name | PAULA M CRONE
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Credential | DO
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Telephone | 503-239-7030
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207Q00000X
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Taxonomy Name | Family Medicine Physician
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License Number | DO18239
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License Number State | OR
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