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General NPI Number Information
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NPI Number | 1225318595
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Entity Type | Individual
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Provider Name | EMILY REBEKAH CROSBY DMD
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Gender | Female
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Dates
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Enumeration Date | 08/18/2011
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Last Update Date | 09/15/2011
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Provider Practice Location Address
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Address Line | 8101 NE PARKWAY DR STE F1/F2
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City | VANCOUVER
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State | WA
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Zip | 98662-7911
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Country | US
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Telephone | 360-882-4000
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Fax |
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Provider Business Mailing Address
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Address Line | 281 SANDERS CREEK PKWY
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City | EAST SYRACUSE
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State | NY
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Zip | 13057-1307
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Country | US
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Telephone | 315-454-6000
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Fax |
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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 | 1223G0001X
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Taxonomy Name | General Practice Dentistry
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License Number | D9608
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License Number State | OR
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