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General NPI Number Information
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NPI Number | 1073914156
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Entity Type | Organization
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Legal Business Name | MARY A. CROSS, M.D., P.A.
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Dates
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Enumeration Date | 09/09/2014
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Last Update Date | 09/09/2014
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Provider Practice Location Address
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Address Line | 9485 SW 72ND ST SUITE A-195
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City | MIAMI
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State | FL
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Zip | 33173-3242
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Country | US
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Telephone | 305-274-7272
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Fax |
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Provider Business Mailing Address
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Address Line | 9485 SW 72ND ST SUITE A-195
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City | MIAMI
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State | FL
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Zip | 33173-3242
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Country | US
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Telephone | 305-274-7272
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Fax |
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Authorized Official
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Title or Position | OWNER/PHYSICIAN
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Name | DR. MARY A CROSS
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Credential | M.D.
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Telephone | 305-274-7272
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207Q00000X
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Taxonomy Name | Family Medicine Physician
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License Number | ME118038
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License Number State | FL
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