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General NPI Number Information
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NPI Number | 1194449819
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Entity Type | Individual
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Provider Name | CASSANDRA FAY FREELAND MSN, APRN, FNP-BC
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Gender | Female
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Dates
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Enumeration Date | 09/27/2022
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Last Update Date | 07/08/2025
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Provider Practice Location Address
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Address Line | 910 E HOUSTON ST STE 330
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City | TYLER
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State | TX
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Zip | 75702-8368
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Country | US
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Telephone | 903-606-7995
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Fax | 903-606-7929
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Provider Business Mailing Address
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Address Line | PO BOX 846098
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City | DALLAS
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State | TX
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Zip | 75284-6098
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Country | US
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Telephone | 903-315-4105
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Fax | 903-315-4130
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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 | 363LF0000X
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Taxonomy Name | Family Nurse Practitioner
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License Number | 5016969
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License Number State | NC
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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 | 1192212
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License Number State | TX
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