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General NPI Number Information
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NPI Number | 1316914971
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Entity Type | Individual
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Provider Name | BRUCE TREADWELL CROFT DPM
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Gender | Male
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Dates
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Enumeration Date | 03/02/2006
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Last Update Date | 05/21/2008
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Provider Practice Location Address
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Address Line | 795 MAIN ST
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City | HOLDEN
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State | MA
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Zip | 01520-3800
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Country | US
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Telephone | 508-829-6645
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Fax | 508-829-5633
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Provider Business Mailing Address
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Address Line | 795 MAIN ST
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City | HOLDEN
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State | MA
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Zip | 01520-3800
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Country | US
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Telephone | 508-829-6645
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Fax | 508-829-5633
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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 | 213ES0131X
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Taxonomy Name | Foot Surgery Podiatrist
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License Number | 1563
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License Number State | MA
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