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General NPI Number Information
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NPI Number | 1225493091
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Entity Type | Individual
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Provider Name | KATHERINE A CROSS FNP-C
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Gender | Female
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Dates
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Enumeration Date | 12/22/2015
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Last Update Date | 10/02/2024
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Provider Practice Location Address
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Address Line | 6473 KINGSTON PIKE STE 6473
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City | KNOXVILLE
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State | TN
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Zip | 37919-4832
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Country | US
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Telephone | 865-588-8831
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Fax | 865-588-8841
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Provider Business Mailing Address
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Address Line | PO BOX 207830
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City | DALLAS
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State | TX
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Zip | 75320-7830
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Country | US
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Telephone | 888-412-2649
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Fax | 405-792-8910
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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 | 363LF0000X
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Taxonomy Name | Family Nurse Practitioner
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License Number | 20803
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License Number State | TN
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