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General NPI Number Information
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NPI Number | 1639916091
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Entity Type | Individual
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Provider Name | JUSTUS JAMES CROSS LMSW
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Gender | Male
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Dates
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Enumeration Date | 07/12/2024
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Last Update Date | 03/26/2025
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Provider Practice Location Address
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Address Line | 16 PHILLIPS ST
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City | MASSENA
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State | NY
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Zip | 13662-2016
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Country | US
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Telephone | 315-764-8076
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Fax | 315-764-8079
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Provider Business Mailing Address
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Address Line | 30 BEACH ST
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City | MASSENA
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State | NY
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Zip | 13662-1337
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Country | US
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Telephone | 315-705-5188
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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 | 104100000X
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Taxonomy Name | Social Worker
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License Number | 121885
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License Number State | NY
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