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General NPI Number Information
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NPI Number | 1881759488
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Entity Type | Organization
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Legal Business Name | M. C. CRONEN & ASSOCIATES INC., PSC
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Dates
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Enumeration Date | 12/26/2006
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Last Update Date | 05/12/2022
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Provider Practice Location Address
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Address Line | 252 WHITTINGTON PKWY
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City | LOUISVILLE
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State | KY
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Zip | 40222-4904
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Country | US
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Telephone | 502-423-7246
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Fax | 502-292-5755
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Provider Business Mailing Address
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Address Line | PO BOX 26798
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City | BELFAST
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State | ME
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Zip | 04915-2018
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Country | US
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Telephone | 502-423-7246
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Fax | 502-292-5755
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Authorized Official
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Title or Position | MEDICAL DIRECTOR
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Name | DR. MICHAEL C CRONEN
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Credential | DO
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Telephone | 502-423-7246
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207LP2900X
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Taxonomy Name | Pain Medicine (Anesthesiology) Physician
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License Number |
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License Number State | KY
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Taxonomy #2
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Taxonomy Code | 332B00000X
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Taxonomy Name | Durable Medical Equipment & Medical Supplies
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License Number |
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License Number State |
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Taxonomy #3
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Taxonomy Code | 363L00000X
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Taxonomy Name | Nurse Practitioner
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License Number |
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License Number State |
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Taxonomy #4
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Taxonomy Code | 208VP0014X
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Taxonomy Name | Interventional Pain Medicine Physician
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License Number |
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License Number State | KY
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