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General NPI Number Information
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NPI Number | 1326068446
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Entity Type | Individual
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Provider Name | MELANIE K. CROSS M.D.
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Gender | Female
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Dates
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Enumeration Date | 07/20/2006
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Last Update Date | 11/02/2010
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Provider Practice Location Address
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Address Line | 400 N MILLS AVE
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City | ORLANDO
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State | FL
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Zip | 32803-5722
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Country | US
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Telephone | 407-581-9180
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Fax | 407-926-9173
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Provider Business Mailing Address
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Address Line | PO BOX 4918
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City | ORLANDO
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State | FL
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Zip | 32802-4918
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Country | US
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Telephone | 407-581-9180
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Fax | 407-926-9173
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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 | 207L00000X
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Taxonomy Name | Anesthesiology Physician
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License Number | ME89809
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License Number State | FL
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Taxonomy #2
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Taxonomy Code | 207LP2900X
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Taxonomy Name | Pain Medicine (Anesthesiology) Physician
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License Number | ME89809
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License Number State | FL
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