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NPI 1104355908

NPI 1104355908 : CASSANDRA A WESTBROOK FNP-C : SNELLVILLE, GA

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General NPI Number Information
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    NPI Number           |    1104355908
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    Entity Type          |    Individual 
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    Provider Name        |    CASSANDRA A WESTBROOK FNP-C
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    Gender               |    Female 
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Dates
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    Enumeration Date     |    06/06/2017
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    Last Update Date     |    12/01/2025
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Provider Practice Location Address
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    Address Line         |    2020 MCGEE RD 
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    City                 |    SNELLVILLE
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    State                |    GA
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    Zip                  |    30078-2992
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    Country              |    US
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    Telephone            |    770-978-7250
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    Fax                  |    
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Provider Business Mailing Address
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    Address Line         |    1776 WOODSTEAD CT STE 208 
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    City                 |    THE WOODLANDS
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    State                |    TX
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    Zip                  |    77380-1480
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    Country              |    US
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    Telephone            |    877-749-7428
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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        |    208100000X
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    Taxonomy Name        |    Physical Medicine & Rehabilitation Physician
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    License Number       |    RN192279
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    License Number State |    GA
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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       |    RN192279
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    License Number State |    GA
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