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General NPI Number Information
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NPI Number | 1285203703
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Entity Type | Individual
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Provider Name | HAYLEY CRANER NPP
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Gender | Female
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Dates
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Enumeration Date | 06/19/2021
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Last Update Date | 06/19/2021
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Provider Practice Location Address
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Address Line | 1045 JAMES ST STE 100
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City | SYRACUSE
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State | NY
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Zip | 13203-2758
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Country | US
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Telephone | 315-425-1004
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Fax | 315-479-7884
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Provider Business Mailing Address
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Address Line | 7408 PLAINVILLE RD
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City | MEMPHIS
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State | NY
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Zip | 13112-9730
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Country | US
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Telephone | 315-416-4748
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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 | 363LP0808X
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Taxonomy Name | Psychiatric/Mental Health Nurse Practitioner
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License Number | 403531
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License Number State | NY
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