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General NPI Number Information
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NPI Number | 1902446255
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Entity Type | Individual
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Provider Name | LISA ANN CRANE
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Gender | Female
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Dates
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Enumeration Date | 01/14/2020
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Last Update Date | 01/14/2020
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Provider Practice Location Address
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Address Line | 1001 US HIGHWAY 9 # 101
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City | HOWELL
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State | NJ
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Zip | 07731-3301
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Country | US
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Telephone | 732-863-7400
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Fax |
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Provider Business Mailing Address
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Address Line | 5 AZTEC TRL
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City | OAK RIDGE
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State | NJ
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Zip | 07438-9759
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Country | US
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Telephone | 904-806-6941
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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 | 171100000X
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Taxonomy Name | Acupuncturist
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License Number | 25MZ00142700
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License Number State | NJ
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