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General NPI Number Information
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NPI Number | 1609400159
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Entity Type | Individual
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Provider Name | ARLETTE CROSS NURSE PRACTITIONER
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Gender | Female
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Dates
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Enumeration Date | 02/24/2020
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Last Update Date | 05/03/2020
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Provider Practice Location Address
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Address Line | 4231 POSTAL CT STE 102
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City | PASADENA
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State | MD
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Zip | 21122-7406
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Country | US
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Telephone | 443-298-9146
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Fax |
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Provider Business Mailing Address
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Address Line | 238 BREEDING BLVD
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City | STEVENSVILLE
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State | MD
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Zip | 21666-2180
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Country | US
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Telephone | 443-960-6489
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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 | 363L00000X
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Taxonomy Name | Nurse Practitioner
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License Number | R140651
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License Number State | MD
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Taxonomy #2
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Taxonomy Code | 207Q00000X
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Taxonomy Name | Family Medicine Physician
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License Number | R140651
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License Number State | MD
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