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General NPI Number Information
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NPI Number | 1710585724
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Entity Type | Individual
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Provider Name | LEEANN CROPSEY MS CCC-A
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Gender | Female
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Dates
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Enumeration Date | 10/12/2020
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Last Update Date | 10/12/2020
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Provider Practice Location Address
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Address Line | 1710 N RANDALL RD STE 210
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City | ELGIN
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State | IL
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Zip | 60123-7904
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Country | US
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Telephone | 847-888-0111
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Fax |
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Provider Business Mailing Address
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Address Line | 9251 PRIMROSE LN
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City | FOX RIVER GROVE
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State | IL
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Zip | 60021-1313
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Country | US
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Telephone | 847-431-0840
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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 | 231H00000X
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Taxonomy Name | Audiologist
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License Number | 12-156
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License Number State | WI
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