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General NPI Number Information
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NPI Number | 1821354515
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Entity Type | Organization
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Legal Business Name | STEVEN CRANE DMD, PA
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Dates
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Enumeration Date | 04/06/2012
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Last Update Date | 04/06/2012
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Provider Practice Location Address
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Address Line | 1850 FOREST HILL BLVD SUITE #106
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City | WEST PALM BEACH
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State | FL
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Zip | 33406-6064
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Country | US
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Telephone | 561-642-8501
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Fax | 561-642-4991
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Provider Business Mailing Address
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Address Line | 6410 OLD MEDINAH CIR
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City | LAKE WORTH
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State | FL
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Zip | 33463-7336
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Country | US
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Telephone | 954-588-8943
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Fax |
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Authorized Official
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Title or Position | DENTIST/ OWNER
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Name | DR. STEVEN CRANE
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Credential | DMD
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Telephone | 954-588-8943
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 1223G0001X
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Taxonomy Name | General Practice Dentistry
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License Number | DN16245
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License Number State | FL
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