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General NPI Number Information
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NPI Number | 1164379848
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Entity Type | Individual
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Provider Name | CHRISTOPHER LEE CRANE HSE
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Gender | Male
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Dates
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Enumeration Date | 03/12/2026
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Last Update Date | 03/12/2026
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Provider Practice Location Address
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Address Line | 906 6TH AVE
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City | MENOMINEE
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State | MI
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Zip | 49858-3120
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Country | US
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Telephone | 715-587-7535
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Fax |
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Provider Business Mailing Address
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Address Line | 2232 13TH ST
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City | MENOMINEE
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State | MI
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Zip | 49858-2129
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Country | US
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Telephone | 715-587-7535
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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 | 3747P1801X
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Taxonomy Name | Personal Care Attendant
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License Number | 3902000000X
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License Number State | MI
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