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General NPI Number Information
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NPI Number | 1790840791
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Entity Type | Individual
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Provider Name | ABBIE KAYE CROSS PA
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Gender | Female
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Dates
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Enumeration Date | 12/27/2006
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Last Update Date | 07/08/2007
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Provider Practice Location Address
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Address Line | 2 W 42ND ST SUITE 120
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City | SCOTTSBLUFF
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State | NE
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Zip | 69361-4669
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Country | US
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Telephone | 308-635-1414
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Fax |
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Provider Business Mailing Address
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Address Line | 1540 S D RD
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City | MITCHELL
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State | NE
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Zip | 69357-3805
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Country | US
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Telephone | 308-641-2861
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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 | 363A00000X
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Taxonomy Name | Physician Assistant
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License Number |
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License Number State |
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