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General NPI Number Information
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NPI Number | 1255592895
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Entity Type | Organization
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Legal Business Name | CROSS THERAPEUTICS INC.
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Dates
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Enumeration Date | 06/17/2008
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Last Update Date | 06/17/2008
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Provider Practice Location Address
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Address Line | 702 GRIMES RD
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City | WASHINGTON
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State | NC
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Zip | 27889-4011
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Country | US
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Telephone | 252-945-4942
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Fax |
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Provider Business Mailing Address
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Address Line | 702 GRIMES RD
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City | WASHINGTON
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State | NC
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Zip | 27889-4011
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Country | US
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Telephone | 252-945-4942
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Fax |
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Authorized Official
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Title or Position | OWNER
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Name | NICHOLE CROSS
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Credential | LPTA LMFT
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Telephone | 252-945-4942
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 225700000X
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Taxonomy Name | Massage Therapist
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License Number | 3050
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License Number State | NC
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