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General NPI Number Information
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NPI Number | 1689648974
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Entity Type | Individual
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Provider Name | LENORE S. CROSSON FNP-BC
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Gender | Female
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Dates
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Enumeration Date | 02/14/2006
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Last Update Date | 08/18/2025
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Provider Practice Location Address
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Address Line | 39 NEW LONDON TPKE STE 218
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City | GLASTONBURY
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State | CT
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Zip | 06033-4208
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Country | US
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Telephone | 860-324-0844
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Fax | 877-915-7942
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Provider Business Mailing Address
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Address Line | 113 ELM STREET SUITE 304
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City | ENFIELD
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State | CT
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Zip | 06082
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Country | US
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Telephone | 860-741-2225
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Fax | 860-651-1404
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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 | 363LF0000X
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Taxonomy Name | Family Nurse Practitioner
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License Number | 002480
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License Number State | CT
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