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General NPI Number Information
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NPI Number | 1417383019
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Entity Type | Individual
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Provider Name | CHRISTEN MARIE CRANE-AMORES R.R.A.
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Gender | Female
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Dates
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Enumeration Date | 09/16/2013
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Last Update Date | 09/16/2013
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Provider Practice Location Address
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Address Line | 1600 PHILLIPS RD
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City | TALLAHASSEE
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State | FL
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Zip | 32308-5304
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Country | US
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Telephone | 850-878-5590
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Fax |
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Provider Business Mailing Address
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Address Line | 5633 COUNTRYSIDE DR
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City | TALLAHASSEE
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State | FL
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Zip | 32317-1451
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Country | US
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Telephone | 850-694-3070
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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 | 243U00000X
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Taxonomy Name | Radiology Practitioner Assistant
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License Number | RA 51
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License Number State | FL
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