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General NPI Number Information
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NPI Number | 1851674121
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Entity Type | Organization
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Legal Business Name | THE CROSS-OVER MINISTRY INC.
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Dates
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Enumeration Date | 09/23/2011
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Last Update Date | 10/15/2018
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Provider Practice Location Address
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Address Line | 8600 QUIOCCASIN RD SUITE 102
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City | RICHMOND
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State | VA
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Zip | 23229-5514
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Country | US
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Telephone | 804-426-7710
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Fax | 804-422-2604
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Provider Business Mailing Address
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Address Line | 8600 QUIOCCASIN RD SUITE 102
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City | RICHMOND
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State | VA
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Zip | 23229-5514
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Country | US
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Telephone | 804-426-7710
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Fax | 804-422-2604
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Authorized Official
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Title or Position | DIRECTOR
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Name | MS. JULIE SCOTT BILODEAU
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Credential | MBA
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Telephone | 804-426-7710
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207Q00000X
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Taxonomy Name | Family Medicine Physician
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License Number |
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License Number State |
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Taxonomy #2
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Taxonomy Code | 261QP2300X
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Taxonomy Name | Primary Care Clinic/Center
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License Number | 01010043345
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License Number State | VA
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