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General NPI Number Information
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NPI Number | 1154035467
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Entity Type | Individual
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Provider Name | CASSIDY ALBRIGHT
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Gender | Female
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Dates
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Enumeration Date | 01/11/2023
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Last Update Date | 01/11/2023
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Provider Practice Location Address
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Address Line | 44 DWIGHT AVE
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City | CLINTON
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State | NY
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Zip | 13323-1600
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Country | US
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Telephone | 315-723-2886
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Fax |
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Provider Business Mailing Address
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Address Line | 12 ELM ST
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City | NEW YORK MILLS
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State | NY
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Zip | 13417-1402
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Country | US
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Telephone | 315-796-4440
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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 | 225X00000X
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Taxonomy Name | Occupational Therapist
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License Number | 027594
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License Number State | NY
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