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General NPI Number Information
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NPI Number | 1689201634
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Entity Type | Individual
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Provider Name | BRENDAN JOSEPH CRONIN MD
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Gender | Male
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Dates
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Enumeration Date | 03/26/2020
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Last Update Date | 06/29/2022
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Provider Practice Location Address
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Address Line | 757 WESTWOOD PLZ
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City | LOS ANGELES
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State | CA
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Zip | 90095-8358
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Country | US
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Telephone | 310-825-9111
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Fax |
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Provider Business Mailing Address
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Address Line | 422 HILL ST APT 9
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City | SANTA MONICA
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State | CA
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Zip | 90405-4245
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Country | US
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Telephone | 781-910-5961
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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 | 390200000X
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Taxonomy Name | Student in an Organized Health Care Education/Training Program
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License Number |
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License Number State |
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Taxonomy #2
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Taxonomy Code | 2086S0122X
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Taxonomy Name | Plastic and Reconstructive Surgery Physician
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License Number | PTL4233
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License Number State | CA
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