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General NPI Number Information
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NPI Number | 1255626156
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Entity Type | Individual
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Provider Name | LEILANI SALVO CRANE PSY.D.
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Gender | Female
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Dates
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Enumeration Date | 06/20/2011
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Last Update Date | 05/17/2019
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Provider Practice Location Address
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Address Line | 156 5TH AVE STE 1134
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City | NEW YORK
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State | NY
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Zip | 10010-7745
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Country | US
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Telephone | 484-471-7130
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Fax |
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Provider Business Mailing Address
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Address Line | 333 N PRINCETON AVE
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City | SWARTHMORE
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State | PA
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Zip | 19081-1436
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Country | US
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Telephone | 610-716-0211
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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 | 103TC0700X
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Taxonomy Name | Clinical Psychologist
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License Number | PS016778
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License Number State | PA
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Taxonomy #2
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Taxonomy Code | 103TC0700X
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Taxonomy Name | Clinical Psychologist
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License Number | NY022550
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License Number State | NY
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