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General NPI Number Information
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NPI Number | 1164785275
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Entity Type | Individual
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Provider Name | MEREDITH KAY CROSS MS CCC-SLP
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Gender | Female
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Dates
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Enumeration Date | 06/22/2012
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Last Update Date | 11/28/2022
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Provider Practice Location Address
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Address Line | 1703 COUNTRY CLUB RD SUITE #305
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City | JACKSONVILLE
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State | NC
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Zip | 28546-7560
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Country | US
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Telephone | 910-619-2277
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Fax | 910-319-7030
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Provider Business Mailing Address
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Address Line | 816 EVERETTS CREEK DR
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City | WILMINGTON
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State | NC
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Zip | 28411-9366
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Country | US
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Telephone | 910-619-2277
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Fax | 910-319-7030
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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 | 235Z00000X
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Taxonomy Name | Speech-Language Pathologist
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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 | 235Z00000X
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Taxonomy Name | Speech-Language Pathologist
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License Number | 6937
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License Number State | NC
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