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General NPI Number Information
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NPI Number | 1770548174
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Entity Type | Individual
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Provider Name | ELAINE CROSBY M. D.
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Gender | Female
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Dates
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Enumeration Date | 04/19/2006
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Last Update Date | 01/28/2014
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Provider Practice Location Address
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Address Line | 40 HURLEY AVE
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City | KINGSTON
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State | NY
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Zip | 12401-3739
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Country | US
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Telephone | 845-481-4055
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Fax | 845-514-2266
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Provider Business Mailing Address
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Address Line | PO BOX 8084
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City | KINGSTON
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State | NY
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Zip | 12402-8084
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Country | US
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Telephone | 845-481-4055
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Fax | 845-514-2266
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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 | 207V00000X
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Taxonomy Name | Obstetrics & Gynecology Physician
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License Number | 196507-1
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License Number State | NY
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