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General NPI Number Information
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NPI Number | 1043934649
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Entity Type | Individual
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Provider Name | DILLON JAMES CROSS LCSW
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Gender | Male
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Dates
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Enumeration Date | 09/28/2022
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Last Update Date | 01/31/2025
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Provider Practice Location Address
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Address Line | 4344 LATHAM ST STE 110
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City | RIVERSIDE
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State | CA
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Zip | 92501-1773
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Country | US
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Telephone | 951-265-7610
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Fax |
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Provider Business Mailing Address
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Address Line | 24908 SPRINGBROOK WAY
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City | MENIFEE
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State | CA
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Zip | 92584-7543
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Country | US
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Telephone | 951-261-8392
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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 | 1041C0700X
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Taxonomy Name | Clinical Social Worker
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License Number | 127707
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License Number State | CA
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