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General NPI Number Information
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NPI Number | 1972999068
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Entity Type | Individual
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Provider Name | INDIA A CROSS BS
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Gender | Female
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Dates
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Enumeration Date | 04/15/2015
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Last Update Date | 04/24/2015
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Provider Practice Location Address
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Address Line | 2134 CAPERNIUM RD TRLR 2 TR#2
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City | CHERRYVILLE
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State | NC
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Zip | 28021-9404
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Country | US
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Telephone | 704-769-4075
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Fax | 704-769-4136
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Provider Business Mailing Address
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Address Line | 2134 CAPERNIUM RD TRLR 2 TR#2
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City | CHERRYVILLE
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State | NC
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Zip | 28021-9404
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Country | US
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Telephone | 704-769-4075
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Fax | 704-769-4136
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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 | 251S00000X
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Taxonomy Name | Community/Behavioral Health Agency
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License Number |
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License Number State | NC
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