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General NPI Number Information
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NPI Number | 1841594264
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Entity Type | Individual
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Provider Name | JOHANNA ELIZABETH CRONAN MSN, FNP-BC, IBCLC
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Gender | Female
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Dates
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Enumeration Date | 12/28/2010
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Last Update Date | 08/27/2013
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Provider Practice Location Address
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Address Line | 114 SE 20TH AVE
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City | POMPANO BEACH
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State | FL
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Zip | 33060-7547
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Country | US
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Telephone | 954-933-0597
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Fax |
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Provider Business Mailing Address
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Address Line | 7340 SW 9TH ST
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City | PLANTATION
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State | FL
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Zip | 33317-4102
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Country | US
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Telephone | 352-207-5729
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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 | 363LF0000X
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Taxonomy Name | Family Nurse Practitioner
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License Number | ARNP #9247443
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License Number State | FL
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Taxonomy #2
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Taxonomy Code | 163WL0100X
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Taxonomy Name | Lactation Consultant (Registered Nurse)
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License Number | 9247443
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License Number State | FL
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