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General NPI Number Information
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NPI Number | 1205872587
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Entity Type | Individual
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Provider Name | JEFFREY SCHUYLER CROSS M.D.
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Gender | Male
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Dates
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Enumeration Date | 06/22/2006
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Last Update Date | 08/08/2014
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Provider Practice Location Address
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Address Line | 2460 W 26TH AVE SUITE 420-C
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City | DENVER
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State | CO
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Zip | 80211-5308
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Country | US
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Telephone | 303-480-3565
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Fax | 303-480-3566
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Provider Business Mailing Address
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Address Line | 11700 W. 2ND PL SUITE #210
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City | LAKEWOOD
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State | CO
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Zip | 80228
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Country | US
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Telephone | 720-321-8080
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Fax | 720-321-8081
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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 | 208600000X
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Taxonomy Name | Surgery Physician
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License Number | 31856
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License Number State | CO
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Taxonomy #2
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Taxonomy Code | 208600000X
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Taxonomy Name | Surgery Physician
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License Number | 0425424
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License Number State | KS
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