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General NPI Number Information
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NPI Number | 1659696250
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Entity Type | Individual
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Provider Name | NICHOLAS JOSEPH CROGNALE D.O
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Gender | Male
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Dates
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Enumeration Date | 04/07/2010
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Last Update Date | 07/30/2025
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Provider Practice Location Address
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Address Line | 157 S WEST END BLVD
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City | QUAKERTOWN
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State | PA
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Zip | 18951-1140
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Country | US
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Telephone | 484-526-1735
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Fax |
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Provider Business Mailing Address
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Address Line | 306 MILL RIDGE DR
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City | CHALFONT
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State | PA
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Zip | 18914-2115
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Country | US
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Telephone | 215-450-5298
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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 | 207QS0010X
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Taxonomy Name | Sports Medicine (Family Medicine) Physician
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License Number | OS017000
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License Number State | PA
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