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General NPI Number Information
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NPI Number | 1912146986
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Entity Type | Individual
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Provider Name | MARYANNE CRONIN PHARMD
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Gender | Female
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Dates
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Enumeration Date | 02/13/2009
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Last Update Date | 02/13/2009
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Provider Practice Location Address
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Address Line | 101 ST. ANDREWS LANE
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City | GLEN COVE
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State | NY
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Zip | 11542
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Country | US
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Telephone | 516-674-7780
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Fax |
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Provider Business Mailing Address
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Address Line | 5 OLD HICKORY LN
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City | HUNTINGTON
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State | NY
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Zip | 11743-2526
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Country | US
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Telephone | 631-549-7749
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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 | 1835P0018X
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Taxonomy Name | Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist
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License Number | 33927
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License Number State | NY
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