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General NPI Number Information
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NPI Number | 1871783316
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Entity Type | Organization
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Legal Business Name | THEODORE H. CRYER, M.D., F.A.C.S.
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Dates
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Enumeration Date | 07/31/2007
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Last Update Date | 03/25/2008
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Provider Practice Location Address
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Address Line | 1647 E MAIN ST
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City | WAYNESBORO
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State | PA
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Zip | 17268-1874
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Country | US
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Telephone | 717-762-1158
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Fax | 717-762-8858
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Provider Business Mailing Address
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Address Line | 1647 E MAIN ST
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City | WAYNESBORO
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State | PA
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Zip | 17268-1874
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Country | US
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Telephone | 717-762-1158
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Fax | 717-762-8858
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Authorized Official
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Title or Position | OWNER
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Name | DR. THEODORE H CRYER
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Credential | M.D.
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Telephone | 717-762-1158
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 174400000X
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Taxonomy Name | Specialist
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License Number | MD019080E
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License Number State | PA
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