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General NPI Number Information
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NPI Number | 1134057938
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Entity Type | Individual
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Provider Name | CASSAUNDRA SELLERS APRN
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Gender | Female
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Dates
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Enumeration Date | 05/12/2026
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Last Update Date | 05/12/2026
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Provider Practice Location Address
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Address Line | 700 SW RAMSEY AVE STE 204
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City | GRANTS PASS
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State | OR
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Zip | 97527-5792
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Country | US
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Telephone | 541-955-5683
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Fax |
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Provider Business Mailing Address
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Address Line | 338 E PORTLAND ST APT 4
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City | PHOENIX
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State | AZ
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Zip | 85004-1816
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Country | US
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Telephone | 727-297-8327
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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 | 208000000X
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Taxonomy Name | Pediatrics Physician
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License Number | 10011795
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License Number State | OR
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