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General NPI Number Information
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NPI Number | 1942745591
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Entity Type | Individual
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Provider Name | BRIAN CROUSE ND, LAC
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Gender | Male
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Dates
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Enumeration Date | 01/05/2017
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Last Update Date | 10/18/2024
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Provider Practice Location Address
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Address Line | 15 ACADEMY ST STE 5
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City | SALISBURY
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State | CT
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Zip | 06068-1835
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Country | US
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Telephone | 203-957-1244
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Fax | 518-592-1094
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Provider Business Mailing Address
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Address Line | 14 S MAPLE AVE
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City | MILLERTON
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State | NY
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Zip | 12546-5213
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Country | US
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Telephone | 631-831-2655
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Fax | 518-592-1094
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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 | 005893-1
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License Number State | NY
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Taxonomy #2
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Taxonomy Code | 171100000X
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Taxonomy Name | Acupuncturist
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License Number | 0648
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License Number State | CT
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Taxonomy #3
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Taxonomy Code | 175F00000X
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Taxonomy Name | Naturopath
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License Number | 0603
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License Number State | CT
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