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General NPI Number Information
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NPI Number | 1497876874
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Entity Type | Individual
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Provider Name | NANCY E. CROWN FNP
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Gender | Female
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Dates
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Enumeration Date | 04/03/2007
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Last Update Date | 07/08/2007
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Provider Practice Location Address
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Address Line | 1300 ELMWOOD AVE BUFFALO STATE COLLEGE WEIGEL HEALTH CENTER
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City | BUFFALO
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State | NY
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Zip | 14222-1095
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Country | US
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Telephone | 716-878-6711
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Fax | 716-878-6727
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Provider Business Mailing Address
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Address Line | PO BOX 156 ELLICOTT STATION
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City | BUFFALO
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State | NY
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Zip | 14205-0156
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Country | US
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Telephone | 716-878-6711
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Fax | 716-878-6724
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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 | 363LF0000X
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Taxonomy Name | Family Nurse Practitioner
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License Number | F332857
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License Number State | NY
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