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General NPI Number Information
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NPI Number | 1225225428
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Entity Type | Individual
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Provider Name | LAURIE A CROSSE MA, MT-BC, LCAT
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Gender | Female
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Dates
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Enumeration Date | 10/02/2007
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Last Update Date | 10/02/2007
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Provider Practice Location Address
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Address Line | 19 FIELDING AVE
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City | DIX HILLS
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State | NY
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Zip | 11746-7139
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Country | US
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Telephone | 631-643-2815
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Fax | 631-643-2816
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Provider Business Mailing Address
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Address Line | 19 FIELDING AVE
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City | DIX HILLS
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State | NY
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Zip | 11746-7139
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Country | US
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Telephone | 631-643-2815
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Fax | 631-643-2816
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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 | 225A00000X
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Taxonomy Name | Music Therapist
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License Number | 000712
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License Number State | NY
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