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General NPI Number Information
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NPI Number | 1053103531
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Entity Type | Individual
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Provider Name | CROSS ANTHONY OROW DDS
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Gender | Male
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Dates
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Enumeration Date | 05/20/2025
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Last Update Date | 05/20/2025
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Provider Practice Location Address
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Address Line | 59041 GRATIOT AVE
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City | NEW HAVEN
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State | MI
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Zip | 48048-2057
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Country | US
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Telephone | 586-749-3333
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Fax |
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Provider Business Mailing Address
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Address Line | 3835 23 MILE RD
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City | SHELBY TOWNSHIP
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State | MI
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Zip | 48316-4003
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Country | US
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Telephone | 586-785-9334
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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 | 122300000X
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Taxonomy Name | Dentist
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License Number | 2901602618
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License Number State | MI
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