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General NPI Number Information
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NPI Number | 1720182108
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Entity Type | Individual
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Provider Name | PATRICIA LOUISE CRONIN MD
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Gender | Female
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Dates
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Enumeration Date | 09/07/2006
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Last Update Date | 12/17/2019
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Provider Practice Location Address
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Address Line | 4 SHAWS CV FL 1
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City | NEW LONDON
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State | CT
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Zip | 06320-4956
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Country | US
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Telephone | 860-437-3611
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Fax | 860-437-1801
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Provider Business Mailing Address
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Address Line | 2201 NORTH BROADWELL AVE. VA NEBRASKA-WESTERN IOWA HEALTH CARE SYSTEM
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City | GRAND ISLAND
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State | NE
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Zip | 68803
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Country | US
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Telephone | 866-580-1810
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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 | 207R00000X
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Taxonomy Name | Internal Medicine Physician
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License Number | 24842
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License Number State | NE
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