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General NPI Number Information
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NPI Number | 1295938264
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Entity Type | Individual
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Provider Name | ROBERT CROSS DDS
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Gender | Male
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Dates
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Enumeration Date | 06/07/2007
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Last Update Date | 07/08/2007
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Provider Practice Location Address
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Address Line | 3630 HILL BLVD SUITE 302
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City | JEFFERSON VALLEY
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State | NY
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Zip | 10535-1502
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Country | US
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Telephone | 914-243-5597
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Fax | 914-962-8456
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Provider Business Mailing Address
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Address Line | 56 CIMARRON RD
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City | PUTNAM VALLEY
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State | NY
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Zip | 10579-1808
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Country | US
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Telephone | 845-528-2223
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Fax | 914-962-8462
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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 | 1223P0300X
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Taxonomy Name | Periodontics
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License Number | 048200
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License Number State | NY
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