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General NPI Number Information
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NPI Number | 1679155204
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Entity Type | Organization
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Legal Business Name | DR. RENA R. CRON
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Dates
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Enumeration Date | 04/23/2021
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Last Update Date | 04/23/2021
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Provider Practice Location Address
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Address Line | 355 S MAIN ST
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City | EAGLEVILLE
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State | TN
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Zip | 37060-4510
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Country | US
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Telephone | 615-274-2102
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Fax | 615-274-2106
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Provider Business Mailing Address
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Address Line | PO BOX 189
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City | EAGLEVILLE
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State | TN
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Zip | 37060-0189
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Country | US
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Telephone | 615-274-2102
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Fax | 615-274-2106
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Authorized Official
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Title or Position | OWNER/PROVIDER
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Name | DR. RENA CRON
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Credential | OD
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Telephone | 615-274-2102
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 152W00000X
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Taxonomy Name | Optometrist
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License Number |
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License Number State |
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