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General NPI Number Information
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NPI Number | 1487697868
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Entity Type | Individual
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Provider Name | DAVID SCOTT CROSS MD
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Gender | Male
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Dates
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Enumeration Date | 06/14/2006
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Last Update Date | 09/25/2012
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Provider Practice Location Address
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Address Line | 8409 NORTH RUN MEDICAL DRIVE
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City | MECHANICSVILLE
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State | VA
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Zip | 23116
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Country | US
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Telephone | 804-569-6240
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Fax | 804-569-6244
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Provider Business Mailing Address
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Address Line | 8409 NORTH RUN MEDICAL DRIVE
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City | MECHANICSVILLE
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State | VA
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Zip | 23116
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Country | US
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Telephone | 804-569-6240
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Fax | 804-569-6244
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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 | 207Y00000X
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Taxonomy Name | Otolaryngology Physician
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License Number | 101048206
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License Number State | VA
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