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General NPI Number Information
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NPI Number | 1144021676
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Entity Type | Organization
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Legal Business Name | CASSANDRIA CLAUDINE STEPHENSON
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Dates
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Enumeration Date | 03/21/2025
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Last Update Date | 05/13/2025
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Provider Practice Location Address
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Address Line | 4027 E SUNSET RD
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City | HENDERSON
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State | NV
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Zip | 89014-0215
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Country | US
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Telephone | 754-246-3364
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Fax | 949-703-8628
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Provider Business Mailing Address
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Address Line | 959 VIA GANDALFI
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City | HENDERSON
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State | NV
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Zip | 89011-0934
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Country | US
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Telephone | 754-246-3364
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Fax | 949-703-8628
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Authorized Official
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Title or Position | OWNER
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Name | MRS. CASSANDRIA CLAUDINE STEPHENSON
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Credential | NP
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Telephone | 754-246-3364
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261QP2300X
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Taxonomy Name | Primary Care Clinic/Center
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License Number |
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License Number State |
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