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General NPI Number Information
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NPI Number | 1104394816
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Entity Type | Organization
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Legal Business Name | CASSANDRA ELKINS DDS, PLLC
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Dates
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Enumeration Date | 11/12/2018
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Last Update Date | 11/12/2018
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Provider Practice Location Address
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Address Line | 9543 HUEBNER RD
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City | SAN ANTONIO
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State | TX
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Zip | 78240-1510
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Country | US
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Telephone | 210-268-0414
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Fax | 210-694-5066
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Provider Business Mailing Address
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Address Line | 18330 GRAN MESA
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City | SAN ANTONIO
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State | TX
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Zip | 78259-2436
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Country | US
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Telephone | 210-289-8621
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Fax | 210-694-5066
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Authorized Official
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Title or Position | DENTIST
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Name | DR. CASSANDRA J ELKINS
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Credential | DDS
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Telephone | 210-268-0414
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 1223P0221X
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Taxonomy Name | Pediatric Dentistry
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License Number |
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License Number State |
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