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General NPI Number Information
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NPI Number | 1831519909
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Entity Type | Individual
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Provider Name | MICHAEL HAWK CRONIN D.O.
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Gender | Male
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Dates
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Enumeration Date | 04/16/2014
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Last Update Date | 10/04/2024
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Provider Practice Location Address
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Address Line | 165 N BABCOCK ST
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City | MELBOURNE
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State | FL
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Zip | 32935
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Country | US
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Telephone | 321-462-3330
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Fax | 800-776-1503
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Provider Business Mailing Address
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Address Line | PO BOX 66657
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City | SEATTLE
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State | WA
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Zip | 98166-0657
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Country | US
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Telephone | 321-723-7716
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Fax | 321-723-0604
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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 | 208D00000X
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Taxonomy Name | General Practice Physician
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License Number | 167906
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License Number State | OR
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Taxonomy #2
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Taxonomy Code | 207X00000X
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Taxonomy Name | Orthopaedic Surgery Physician
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License Number | OS15191
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License Number State | FL
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