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General NPI Number Information
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NPI Number | 1548453897
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Entity Type | Individual
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Provider Name | DEBORAH A CRONIN
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Gender | Female
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Dates
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Enumeration Date | 08/21/2007
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Last Update Date | 08/21/2007
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Provider Practice Location Address
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Address Line | 27-71 GANSEVOORT RD
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City | SOUTH GLENS FALLS
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State | NY
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Zip | 12803
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Country | US
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Telephone | 518-798-2847
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Fax |
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Provider Business Mailing Address
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Address Line | PO BOX 1000 MS 3000
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City | PORTLAND
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State | ME
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Zip | 04104-5005
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Country | US
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Telephone |
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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 | 183500000X
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Taxonomy Name | Pharmacist
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License Number | 030238
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License Number State | NY
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