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General NPI Number Information
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NPI Number | 1215975206
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Entity Type | Individual
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Provider Name | DORIS D CROMER M.D.
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Gender | Female
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Dates
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Enumeration Date | 06/03/2006
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Last Update Date | 11/08/2024
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Provider Practice Location Address
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Address Line | AMERICAN WELL 75 STATE STREET 26TH FLOOR
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City | BOSTON
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State | MA
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Zip | 02109
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Country | US
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Telephone | 855-347-4108
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Fax |
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Provider Business Mailing Address
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Address Line | 8 ASPEN LN
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City | STRATHAM
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State | NH
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Zip | 03885-2166
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Country | US
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Telephone | 603-997-6466
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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 | 207Q00000X
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Taxonomy Name | Family Medicine Physician
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License Number | 13531
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License Number State | NH
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