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General NPI Number Information
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NPI Number | 1891312328
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Entity Type | Individual
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Provider Name | SUSAN MARIE KRONK PT
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Gender | Female
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Dates
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Enumeration Date | 06/30/2020
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Last Update Date | 11/18/2025
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Provider Practice Location Address
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Address Line | 721 E MILLTOWN RD
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City | WOOSTER
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State | OH
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Zip | 44691-1331
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Country | US
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Telephone | 330-287-4500
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Fax |
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Provider Business Mailing Address
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Address Line | 959 YESTERDAY LN
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City | MEDINA
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State | OH
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Zip | 44256-3542
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Country | US
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Telephone | 216-402-5262
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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 | 225100000X
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Taxonomy Name | Physical Therapist
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License Number | 9418
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License Number State | OH
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