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General NPI Number Information
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NPI Number | 1053937441
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Entity Type | Individual
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Provider Name | CASSIDY WHITE AUD
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Gender | Female
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Dates
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Enumeration Date | 06/22/2020
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Last Update Date | 12/06/2023
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Provider Practice Location Address
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Address Line | 4015 W CLEARWATER AVE
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City | KENNEWICK
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State | WA
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Zip | 99336-5028
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Country | US
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Telephone | 509-736-4005
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Fax | 509-737-9525
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Provider Business Mailing Address
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Address Line | 4015 W CLEARWATER AVE
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City | KENNEWICK
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State | WA
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Zip | 99336-5028
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Country | US
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Telephone | 509-736-4005
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Fax | 509-737-9525
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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 | DA12387
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License Number State | AZ
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Taxonomy #2
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Taxonomy Code | 231H00000X
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Taxonomy Name | Audiologist
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License Number | LD61322664
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License Number State | WA
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