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General NPI Number Information
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NPI Number | 1346867884
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Entity Type | Individual
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Provider Name | NICHOLAS CRONIN DPM
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Gender | Male
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Dates
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Enumeration Date | 07/01/2020
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Last Update Date | 10/07/2024
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Provider Practice Location Address
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Address Line | 7075 MANLIUS CENTER RD
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City | EAST SYRACUSE
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State | NY
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Zip | 13057-2607
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Country | US
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Telephone | 315-446-3668
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Fax | 315-849-1182
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Provider Business Mailing Address
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Address Line | 825 CHALKSTONE AVENUE MEDICAL EDUCATION, ATTN: SUSAN SACCOCCIA
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City | PROVIDENCE
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State | RI
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Zip | 02908
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Country | US
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Telephone | 401-456-2388
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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 | 213ES0103X
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Taxonomy Name | Foot & Ankle Surgery Podiatrist
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License Number | N007297
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License Number State | NY
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