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General NPI Number Information
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NPI Number | 1053720987
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Entity Type | Individual
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Provider Name | SARAH ELIZABETH KNOTT CROSS PA-C
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Gender | Female
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Dates
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Enumeration Date | 08/05/2014
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Last Update Date | 05/24/2024
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Provider Practice Location Address
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Address Line | 2000 FOUNDATION WAY STE 3650
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City | MARTINSBURG
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State | WV
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Zip | 25401-9197
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Country | US
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Telephone | 304-350-3274
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Fax | 304-350-3404
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Provider Business Mailing Address
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Address Line | PO BOX 763
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City | MORGANTOWN
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State | WV
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Zip | 26507-0763
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Country | US
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Telephone | 800-541-4009
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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 | 363A00000X
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Taxonomy Name | Physician Assistant
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License Number | 01854
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License Number State | WV
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