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General NPI Number Information
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NPI Number | 1922161900
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Entity Type | Individual
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Provider Name | ERNEST BARTON CROSS AUDIOLOGIST
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Gender | Male
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Dates
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Enumeration Date | 12/19/2006
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Last Update Date | 02/11/2025
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Provider Practice Location Address
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Address Line | 9369 HIGHWAY 19 N
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City | COLLINSVILLE
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State | MS
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Zip | 39325-9219
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Country | US
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Telephone | 601-626-0050
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Fax | 601-626-0049
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Provider Business Mailing Address
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Address Line | 9369 HIGHWAY 19 N
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City | COLLINSVILLE
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State | MS
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Zip | 39325-9219
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Country | US
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Telephone | 601-626-0050
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Fax | 601-626-0049
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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 | 231H00000X
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Taxonomy Name | Audiologist
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License Number | A0999
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License Number State | MS
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