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General NPI Number Information
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NPI Number | 1346589801
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Entity Type | Organization
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Legal Business Name | JOHN W ROSENCRANS CRNP, PC
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Dates
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Enumeration Date | 02/04/2013
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Last Update Date | 06/19/2013
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Provider Practice Location Address
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Address Line | 395 OSCEOLA AVE
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City | KINGSTON
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State | PA
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Zip | 18704-5118
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Country | US
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Telephone | 570-288-1258
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Fax |
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Provider Business Mailing Address
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Address Line | 395 OSCEOLA AVE
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City | KINGSTON
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State | PA
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Zip | 18704-5118
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Country | US
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Telephone | 570-288-1258
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Fax |
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Authorized Official
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Title or Position | PRESIDENT
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Name | JOHN ROSENCRANS
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Credential | CRNP
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Telephone | 570-288-1258
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 363LF0000X
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Taxonomy Name | Family Nurse Practitioner
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License Number | TP005021B
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License Number State | PA
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