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NPI 1083478101

NPI 1083478101 : CROSS-CHECK HEALTHCARE CONSULTANT : PORT ST LUCIE, FL

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General NPI Number Information
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    NPI Number           |    1083478101
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    Entity Type          |    Organization 
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    Legal Business Name  |    CROSS-CHECK HEALTHCARE CONSULTANT 
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Dates
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    Enumeration Date     |    02/08/2024
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    Last Update Date     |    08/15/2025
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Provider Practice Location Address
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    Address Line         |    434 SE GASPARILLA AVE 
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    City                 |    PORT ST LUCIE
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    State                |    FL
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    Zip                  |    34983-2214
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    Country              |    US
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    Telephone            |    772-867-3898
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    Fax                  |    
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Provider Business Mailing Address
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    Address Line         |    1552 SE FLORESTA DR # 1059 
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    City                 |    PORT ST LUCIE
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    State                |    FL
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    Zip                  |    34983-4069
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    Country              |    US
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    Telephone            |    772-867-3898
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    Fax                  |    
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Authorized Official
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    Title or Position    |    OCCUPATIONAL THERAPIST
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    Name                 |     KENNESHIA  CROSS 
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    Credential           |    
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    Telephone            |    772-867-3898
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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    Taxonomy Code        |    225X00000X
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    Taxonomy Name        |    Occupational 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        |    225XP0019X
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    Taxonomy Name        |    Physical Rehabilitation Occupational Therapist
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    License Number       |    
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    License Number State |    
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Taxonomy #3
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    Taxonomy Code        |    225XG0600X
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    Taxonomy Name        |    Gerontology Occupational Therapist
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    License Number       |    
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    License Number State |    
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