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General NPI Number Information
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NPI Number | 1053457762
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Entity Type | Organization
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Legal Business Name | ALISA A. CROSS, M.D., INC.
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Dates
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Enumeration Date | 01/29/2007
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Last Update Date | 06/15/2009
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Provider Practice Location Address
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Address Line | 6464 W SUNSET BLVD STE 1040
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City | HOLLYWOOD
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State | CA
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Zip | 90028-8012
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Country | US
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Telephone | 323-466-8300
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Fax | 323-466-8380
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Provider Business Mailing Address
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Address Line | 6464 W SUNSET BLVD STE 1040
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City | HOLLYWOOD
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State | CA
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Zip | 90028-8012
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Country | US
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Telephone | 323-466-8300
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Fax | 323-466-8380
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Authorized Official
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Title or Position | PRESIDENT
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Name | ALISA CROSS
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Credential | M.D.
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Telephone | 323-466-8300
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 106H00000X
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Taxonomy Name | Marriage & Family Therapist
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License Number |
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License Number State |
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Taxonomy #2
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Taxonomy Code | 2084P0800X
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Taxonomy Name | Psychiatry Physician
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License Number |
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License Number State |
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