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General NPI Number Information
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NPI Number | 1649540592
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Entity Type | Organization
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Legal Business Name | DR JAMES L CROMWELL MD INC
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Dates
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Enumeration Date | 01/10/2012
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Last Update Date | 01/10/2012
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Provider Practice Location Address
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Address Line | 2121 E HIGH ST
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City | SPRINGFIELD
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State | OH
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Zip | 45505-1368
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Country | US
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Telephone | 937-323-6865
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Fax | 937-323-1803
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Provider Business Mailing Address
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Address Line | 2121 E HIGH ST
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City | SPRINGFIELD
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State | OH
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Zip | 45505-1368
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Country | US
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Telephone | 937-323-6865
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Fax | 937-323-1803
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Authorized Official
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Title or Position | PRESIDENT
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Name | DR. JAMES L CROMWELL
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Credential | MD
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Telephone | 937-323-6865
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207VG0400X
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Taxonomy Name | Gynecology Physician
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License Number | 35037016
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License Number State | OH
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