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General NPI Number Information
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NPI Number | 1063740215
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Entity Type | Organization
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Legal Business Name | ROBYN CROUTCH D C P C
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Dates
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Enumeration Date | 11/30/2009
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Last Update Date | 08/17/2025
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Provider Practice Location Address
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Address Line | 8 HAVEN AVE STE 223
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City | PORT WASHINGTON
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State | NY
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Zip | 11050-3636
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Country | US
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Telephone | 516-754-7118
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Fax | 516-944-9644
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Provider Business Mailing Address
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Address Line | 8 HAVEN AVE STE 223
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City | PORT WASHINGTON
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State | NY
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Zip | 11050-3636
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Country | US
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Telephone | 516-754-7118
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Fax | 516-944-9644
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Authorized Official
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Title or Position | OWNER
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Name | DR. ROBYN P CROUTCH
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Credential | D.C.
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Telephone | 516-944-4469
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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 | X010011-1
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License Number State | NY
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