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General NPI Number Information
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NPI Number | 1538620364
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Entity Type | Individual
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Provider Name | VANESSA CRUMITY
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Gender | Female
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Dates
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Enumeration Date | 03/26/2019
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Last Update Date | 02/15/2021
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Provider Practice Location Address
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Address Line | 1010 CLINTON AVE S
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City | ROCHESTER
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State | NY
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Zip | 14620-2071
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Country | US
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Telephone | 585-471-8098
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Fax |
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Provider Business Mailing Address
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Address Line | 1010 CLINTON AVE S
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City | ROCHESTER
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State | NY
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Zip | 14620-2071
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Country | US
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Telephone | 585-471-8098
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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 | 224P00000X
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Taxonomy Name | Prosthetist
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License Number | AEC-16-00686
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License Number State | NY
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