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General NPI Number Information
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NPI Number | 1497114110
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Entity Type | Individual
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Provider Name | LINZIE SUZANNE CRUTE D.C.
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Gender | Female
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Dates
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Enumeration Date | 02/23/2016
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Last Update Date | 01/25/2019
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Provider Practice Location Address
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Address Line | 1204 E DOROTHY LN
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City | DAYTON
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State | OH
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Zip | 45419-2111
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Country | US
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Telephone | 937-479-7930
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Fax |
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Provider Business Mailing Address
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Address Line | 3050 SEARS RD
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City | SPRING VALLEY
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State | OH
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Zip | 45370-7726
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Country | US
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Telephone | 937-479-7930
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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 | 111N00000X
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Taxonomy Name | Chiropractor
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License Number | 04853
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License Number State | OH
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Taxonomy #2
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Taxonomy Code | 111N00000X
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Taxonomy Name | Chiropractor
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License Number | 4626
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License Number State | NC
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