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1124750989 NPI number — VANESSA CORINA OLIVIA CROSS DDS

NPI Number: 1124750989
Health Care Provider/Practitioner: VANESSA CORINA OLIVIA CROSS DDS

Information about “1124750989” NPI (VANESSA CORINA OLIVIA CROSS DDS) exists in 1124750989 in HTML format HTML  |  1124750989 in plain Text format TXT  |  1124750989 in PDF (Portable Document Format) PDF  |  1124750989 in an XML format XML  formats.

NPI Number : 1124750989 – JSON Data Format

                
{
  "Npi": {
    "NPI": "1124750989",
    "EntityType": "Individual",
    "ReplacementNPI": null,
    "EIN": null,
    "IsSoleProprietor": "N",
    "IsOrgSubpart": null,
    "ParentOrgLBN": null,
    "ParentOrgTIN": null,
    "OrgName": null,
    "LastName": "CROSS",
    "FirstName": "VANESSA",
    "MiddleName": "CORINA OLIVIA",
    "NamePrefix": "DR.",
    "NameSuffix": null,
    "Credential": "DDS",
    "OtherOrgName": null,
    "OtherOrgNameTypeCode": null,
    "OtherLastName": null,
    "OtherFirstName": null,
    "OtherMiddleName": null,
    "OtherNamePrefix": null,
    "OtherNameSuffix": null,
    "OtherCredential": null,
    "OtherLastNameTypeCode": null,
    "FirstLineMailingAddress": "1111 BOONE HALL WAY APT 202",
    "SecondLineMailingAddress": null,
    "MailingAddressCityName": "FAYETTEVILLE",
    "MailingAddressStateName": "NC",
    "MailingAddressPostalCode": "28303-6034",
    "MailingAddressCountryCode": "US",
    "MailingAddressTelephoneNumber": "772-359-6727",
    "MailingAddressFaxNumber": null,
    "FirstLinePracticeLocationAddress": "2935 BREEZEWOOD AVE STE 200",
    "SecondLinePracticeLocationAddress": null,
    "PracticeLocationAddressCityName": "FAYETTEVILLE",
    "PracticeLocationAddressStateName": "NC",
    "PracticeLocationAddressPostalCode": "28303-5498",
    "PracticeLocationAddressCountryCode": "US",
    "PracticeLocationAddressTelephoneNumber": "910-323-3133",
    "PracticeLocationAddressFaxNumber": null,
    "EnumerationDate": "06/29/2022",
    "LastUpdateDate": "06/29/2022",
    "NPIDeactivationReasonCode": null,
    "NPIDeactivationReason": null,
    "NPIDeactivationDate": null,
    "NPIReactivationDate": null,
    "GenderCode": "F",
    "Gender": "Female",
    "AuthorizedOfficialLastName": null,
    "AuthorizedOfficialFirstName": null,
    "AuthorizedOfficialMiddleName": null,
    "AuthorizedOfficialTitle": null,
    "AuthorizedOfficialNamePrefix": null,
    "AuthorizedOfficialNameSuffix": null,
    "AuthorizedOfficialCredential": null,
    "AuthorizedOfficialTelephoneNumber": null,
    "Taxonomies": {
      "Taxonomy": {
        "TaxonomyCode": "122300000X",
        "TaxonomyName": "Dentist",
        "LicenseNumber": "12832",
        "LicenseNumberStateCode": "NC",
        "PrimaryTaxonomySwitch": "Y"
      }
    },
    "HealthcareProviderTaxonomyGroups": null
  }
}
                
            

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