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General NPI Number Information
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NPI Number | 1487724563
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Entity Type | Organization
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Legal Business Name | TIMOTHY E. CRONIN, DDS, INC.
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Dates
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Enumeration Date | 11/08/2006
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Last Update Date | 03/16/2011
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Provider Practice Location Address
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Address Line | 400 S ZANG BLVD STE 820
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City | DALLAS
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State | TX
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Zip | 75208-6643
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Country | US
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Telephone | 214-943-8824
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Fax | 214-943-4057
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Provider Business Mailing Address
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Address Line | 400 S ZANG BLVD STE 820
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City | DALLAS
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State | TX
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Zip | 75208-6643
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Country | US
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Telephone | 214-943-8824
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Fax | 214-943-4057
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Authorized Official
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Title or Position | WIFE
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Name | MRS. LISA CRONIN
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Credential |
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Telephone | 214-943-8824
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 1223G0001X
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Taxonomy Name | General Practice Dentistry
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License Number | 10469
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License Number State | TX
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