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General NPI Number Information
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NPI Number | 1982854741
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Entity Type | Individual
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Provider Name | AMY E CROSSON NP
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Gender | Female
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Dates
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Enumeration Date | 09/29/2008
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Last Update Date | 06/12/2025
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Provider Practice Location Address
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Address Line | 211 N EDDY ST
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City | SOUTH BEND
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State | IN
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Zip | 46617-3096
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Country | US
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Telephone | 574-234-8161
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Fax |
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Provider Business Mailing Address
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Address Line | 211 N EDDY ST
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City | SOUTH BEND
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State | IN
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Zip | 46617-2808
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Country | US
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Telephone | 574-234-8161
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Fax |
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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 | 207QA0505X
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Taxonomy Name | Adult Medicine Physician
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License Number | 71002016
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License Number State | IN
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Taxonomy #2
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Taxonomy Code | 363LF0000X
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Taxonomy Name | Family Nurse Practitioner
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License Number | 71002016A
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License Number State | IN
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