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General NPI Number Information
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NPI Number | 1356375331
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Entity Type | Organization
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Legal Business Name | LEONARD CRANE OPT. INC.
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Dates
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Enumeration Date | 07/10/2006
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Last Update Date | 08/22/2020
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Provider Practice Location Address
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Address Line | 236 W 9 MILE RD
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City | FERNDALE
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State | MI
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Zip | 48220-1794
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Country | US
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Telephone | 248-545-5600
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Fax |
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Provider Business Mailing Address
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Address Line | 236 W 9 MILE RD
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City | FERNDALE
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State | MI
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Zip | 48220-1794
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Country | US
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Telephone |
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Fax |
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Authorized Official
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Title or Position | OWNER
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Name | DR. HOWARD E CRANE
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Credential | O.D
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Telephone | 248-545-5600
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 152W00000X
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Taxonomy Name | Optometrist
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License Number | 4901002382
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License Number State | MI
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