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General NPI Number Information
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NPI Number | 1346354909
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Entity Type | Individual
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Provider Name | LANCE E CROPP DO
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Gender | Male
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Dates
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Enumeration Date | 08/19/2006
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Last Update Date | 07/09/2007
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Provider Practice Location Address
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Address Line | 1987 W 4TH ST
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City | MANSFIELD
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State | OH
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Zip | 44906-1708
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Country | US
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Telephone | 419-525-2160
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Fax | 419-522-7021
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Provider Business Mailing Address
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Address Line | 1987 W 4TH ST
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City | MANSFIELD
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State | OH
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Zip | 44906-1708
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Country | US
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Telephone | 419-525-2160
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Fax | 419-522-7021
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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 | 2085R0202X
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Taxonomy Name | Diagnostic Radiology Physician
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License Number | 34-005438
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License Number State | OH
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