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General NPI Number Information
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NPI Number | 1104979251
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Entity Type | Individual
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Provider Name | BRIDGET H. CROMER CRNA
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Gender | Female
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Dates
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Enumeration Date | 01/20/2007
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Last Update Date | 12/09/2014
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Provider Practice Location Address
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Address Line | 298 MEMORIAL DR
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City | SENECA
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State | SC
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Zip | 29672-9443
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Country | US
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Telephone | 864-482-3100
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Fax |
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Provider Business Mailing Address
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Address Line | 1 INDEPENDENCE PT SUITE 212
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City | GREENVILLE
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State | SC
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Zip | 29615-4545
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Country | US
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Telephone | 864-797-6400
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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 | 367500000X
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Taxonomy Name | Certified Registered Nurse Anesthetist
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License Number | 3257
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License Number State | SC
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