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NPI 1689617912

NPI 1689617912 : ROBERT A CROSSEY DO : IRWIN, PA

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General NPI Number Information
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    NPI Number           |    1689617912
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    Entity Type          |    Individual 
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    Provider Name        |    ROBERT A CROSSEY DO
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    Gender               |    Male 
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Dates
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    Enumeration Date     |    06/14/2006
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    Last Update Date     |    10/29/2020
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Provider Practice Location Address
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    Address Line         |    4044 ROUTE 130 STE 200
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    City                 |    IRWIN
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    State                |    PA
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    Zip                  |    15642-7830
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    Country              |    US
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    Telephone            |    724-744-2500
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    Fax                  |    724-744-3338
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Provider Business Mailing Address
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    Address Line         |    3824 NORTHERN PIKE STE 700
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    City                 |    MONROEVILLE
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    State                |    PA
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    Zip                  |    15146-2141
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    Country              |    US
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    Telephone            |    412-457-0060
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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        |    207Q00000X
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    Taxonomy Name        |    Family Medicine Physician
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    License Number       |    OS007871L
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    License Number State |    PA
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