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General NPI Number Information
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NPI Number | 1801253463
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Entity Type | Organization
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Legal Business Name | CROSSROADS TO CARE, INC. A NURSING CORPORATION
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Dates
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Enumeration Date | 01/26/2016
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Last Update Date | 04/06/2016
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Provider Practice Location Address
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Address Line | 4001 VISTA VERDE
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City | PALM SPRINGS
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State | CA
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Zip | 92262-1231
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Country | US
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Telephone | 706-668-1654
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Fax |
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Provider Business Mailing Address
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Address Line | 73550 ALESSANDRO DR
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City | PALM DESERT
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State | CA
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Zip | 92260-3613
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Country | US
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Telephone | 760-834-7000
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Fax |
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Authorized Official
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Title or Position | NURSE PRACTITIONER BOARD CERTIFIED
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Name | PATRICIA LYNN RYAN
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Credential | ANP
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Telephone | 760-668-1654
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 363LA2200X
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Taxonomy Name | Adult Health Nurse Practitioner
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License Number |
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License Number State |
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