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General NPI Number Information
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NPI Number | 1871456103
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Entity Type | Individual
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Provider Name | ANTHONY WILLIAM CRAINE PTA
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Gender | Male
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Dates
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Enumeration Date | 12/04/2025
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Last Update Date | 12/04/2025
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Provider Practice Location Address
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Address Line | 290 BRANCH AVE
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City | PROVIDENCE
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State | RI
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Zip | 02904-2713
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Country | US
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Telephone | 401-722-8880
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Fax |
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Provider Business Mailing Address
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Address Line | 67 TIFFT RD
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City | NORTH SMITHFIELD
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State | RI
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Zip | 02896-8009
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Country | US
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Telephone | 401-440-8090
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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 | 225200000X
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Taxonomy Name | Physical Therapy Assistant
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License Number | 00965
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License Number State | RI
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