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General NPI Number Information
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NPI Number | 1578692943
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Entity Type | Individual
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Provider Name | ERIN RENAE CROME MOT, OTR/L
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Gender | Female
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Dates
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Enumeration Date | 03/03/2007
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Last Update Date | 02/13/2021
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Provider Practice Location Address
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Address Line | 17111 KENTON DR STE 206B
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City | CORNELIUS
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State | NC
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Zip | 28031-5650
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Country | US
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Telephone | 704-237-4105
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Fax | 704-237-4107
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Provider Business Mailing Address
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Address Line | 8602 WESTMORELAND LAKE DR
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City | CORNELIUS
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State | NC
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Zip | 28031-5746
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Country | US
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Telephone | 815-762-3448
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Fax | 704-237-4107
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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 | 225X00000X
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Taxonomy Name | Occupational Therapist
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License Number | 056.007272
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License Number State | IL
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Taxonomy #2
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Taxonomy Code | 225XP0200X
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Taxonomy Name | Pediatric Occupational Therapist
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License Number | 12479
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License Number State | NC
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