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General NPI Number Information
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NPI Number | 1649537713
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Entity Type | Organization
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Legal Business Name | PAUL CRANE DMD PC
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Dates
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Enumeration Date | 04/13/2012
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Last Update Date | 04/13/2012
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Provider Practice Location Address
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Address Line | 1900 HEMPSTEAD TPKE SUITE 409
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City | EAST MEADOW
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State | NY
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Zip | 11554-1724
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Country | US
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Telephone | 516-564-8499
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Fax | 516-222-1726
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Provider Business Mailing Address
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Address Line | 8 VERITY LN
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City | ROSLYN
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State | NY
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Zip | 11576-2000
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Country | US
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Telephone | 516-621-4783
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Fax | 516-222-1726
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Authorized Official
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Title or Position | PRESIDENT
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Name | DR. PAUL ALAN CRANE
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Credential | DMD
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Telephone | 516-621-4783
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 1223P0300X
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Taxonomy Name | Periodontics
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License Number |
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License Number State |
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