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General NPI Number Information
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NPI Number | 1013960335
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Entity Type | Individual
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Provider Name | PETER W CROSS CRNA
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Gender | Male
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Dates
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Enumeration Date | 05/18/2006
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Last Update Date | 05/12/2008
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Provider Practice Location Address
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Address Line | 1126 S FEDERAL HWY #149
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City | FT LAUDERDALE
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State | FL
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Zip | 33316-1257
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Country | US
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Telephone | 808-292-5636
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Fax |
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Provider Business Mailing Address
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Address Line | 1126 S FEDERAL HWY # 149
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City | FT LAUDERDALE
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State | FL
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Zip | 33316-1257
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Country | US
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Telephone |
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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 | 367500000X
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Taxonomy Name | Certified Registered Nurse Anesthetist
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License Number | APRN 528
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License Number State | HI
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