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General NPI Number Information
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NPI Number | 1821896333
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Entity Type | Individual
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Provider Name | LAURA KAY CROSS RN, CDCES
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Gender | Female
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Dates
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Enumeration Date | 03/03/2025
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Last Update Date | 03/06/2025
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Provider Practice Location Address
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Address Line | 8960 COLONIAL CENTER DR STE 202
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City | FORT MYERS
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State | FL
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Zip | 33905-7810
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Country | US
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Telephone | 239-343-9646
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Fax | 239-343-9681
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Provider Business Mailing Address
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Address Line | 632 TOMASELLO AVE
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City | LEHIGH ACRES
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State | FL
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Zip | 33974-9445
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Country | US
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Telephone | 239-229-0629
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Fax | 239-343-0735
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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 | 163WD0400X
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Taxonomy Name | Diabetes Educator Registered Nurse
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License Number | RN9190746
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License Number State | FL
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