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General NPI Number Information
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NPI Number | 1598007023
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Entity Type | Individual
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Provider Name | MELISSA DEAL CROSS ANP/GNP-C
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Gender | Female
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Dates
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Enumeration Date | 03/22/2013
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Last Update Date | 09/17/2021
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Provider Practice Location Address
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Address Line | 501 N ELAM AVE
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City | GREENSBORO
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State | NC
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Zip | 27403-1118
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Country | US
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Telephone | 336-832-1895
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Fax | 336-832-1919
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Provider Business Mailing Address
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Address Line | 22 IRVING PARK LN
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City | GREENSBORO
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State | NC
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Zip | 27455-2473
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Country | US
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Telephone | 336-420-7844
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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 | 363LG0600X
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Taxonomy Name | Gerontology Nurse Practitioner
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License Number | 5006118
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License Number State | NC
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Taxonomy #2
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Taxonomy Code | 363LA2200X
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Taxonomy Name | Adult Health Nurse Practitioner
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License Number | 5006118
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License Number State | NC
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