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General NPI Number Information
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NPI Number | 1508340019
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Entity Type | Individual
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Provider Name | ALEXANDRA LYNN CROSS
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Gender | Female
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Dates
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Enumeration Date | 09/20/2018
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Last Update Date | 02/03/2020
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Provider Practice Location Address
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Address Line | 23232 FIREDRAKE TER
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City | BRAMBLETON
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State | VA
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Zip | 20148-7285
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Country | US
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Telephone | 607-768-3450
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Fax |
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Provider Business Mailing Address
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Address Line | 23232 FIREDRAKE TER
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City | BRAMBLETON
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State | VA
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Zip | 20148-7285
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Country | US
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Telephone |
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Fax |
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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 | 225200000X
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Taxonomy Name | Physical Therapy Assistant
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License Number | A6203
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License Number State | NC
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Taxonomy #2
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Taxonomy Code | 225200000X
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Taxonomy Name | Physical Therapy Assistant
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License Number | 49564
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License Number State | CA
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