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General NPI Number Information
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NPI Number | 1033548789
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Entity Type | Individual
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Provider Name | SEDIA CROSSMAN BSN, RN
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Gender | Female
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Dates
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Enumeration Date | 11/04/2013
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Last Update Date | 11/04/2013
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Provider Practice Location Address
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Address Line | 102 CHAMPLAIN AVE
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City | STATEN ISLAND
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State | NY
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Zip | 10306-4120
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Country | US
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Telephone | 347-415-6985
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Fax |
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Provider Business Mailing Address
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Address Line | 341 S 6TH AVE
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City | MOUNT VERNON
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State | NY
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Zip | 10550-4113
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Country | US
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Telephone | 914-582-8744
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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 | 163WC0400X
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Taxonomy Name | Case Management Registered Nurse
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License Number | 636755
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License Number State | NY
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