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General NPI Number Information
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NPI Number | 1760613483
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Entity Type | Individual
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Provider Name | WILLIAM MCEWAN CROSS PH.D.
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Gender | Male
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Dates
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Enumeration Date | 07/29/2009
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Last Update Date | 07/29/2009
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Provider Practice Location Address
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Address Line | 120 E WASHINGTON ST SUITE 924
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City | SYRACUSE
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State | NY
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Zip | 13202-4000
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Country | US
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Telephone | 315-474-3762
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Fax |
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Provider Business Mailing Address
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Address Line | 4673 WHETSTONE RD
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City | MANLIUS
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State | NY
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Zip | 13104-2516
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Country | US
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Telephone | 315-474-3762
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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 | 106H00000X
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Taxonomy Name | Marriage & Family Therapist
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License Number | 000338
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License Number State | NY
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