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General NPI Number Information
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NPI Number | 1245270917
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Entity Type | Individual
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Provider Name | ELIZABETH P.L. CROSS NP
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Gender | Female
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Dates
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Enumeration Date | 06/08/2006
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Last Update Date | 12/21/2023
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Provider Practice Location Address
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Address Line | TRIPLER ARMY MEDICAL CENTER 1 JARRETT WHITE RD
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City | HONOLULU
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State | HI
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Zip | 96859-5000
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Country | US
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Telephone | 808-433-9053
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Fax | 808-433-0398
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Provider Business Mailing Address
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Address Line | 10 IHO IHO PLACE
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City | WAHIAWA
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State | HI
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Zip | 96786
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Country | US
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Telephone | 808-433-0235
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Fax | 808-433-0398
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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 | 619
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License Number State | HI
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