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General NPI Number Information
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NPI Number | 1205251816
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Entity Type | Individual
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Provider Name | CASSANDRA MUELLER PA-C
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Gender | Female
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Dates
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Enumeration Date | 02/19/2014
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Last Update Date | 03/17/2025
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Provider Practice Location Address
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Address Line | 2401 E ST NW SA-1 SUITE L201
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City | WASHINGTON
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State | DC
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Zip | 20522-0001
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Country | US
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Telephone | 571-438-1383
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Fax |
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Provider Business Mailing Address
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Address Line | 805 SANDY PLAINS ROAD MEDICAL STAFF SERVICES
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City | MARIETTA
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State | GA
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Zip | 30066-6340
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Country | US
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Telephone |
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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 | 363AS0400X
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Taxonomy Name | Surgical Physician Assistant
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License Number |
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License Number State | TX
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Taxonomy #2
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Taxonomy Code | 363AS0400X
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Taxonomy Name | Surgical Physician Assistant
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License Number |
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License Number State | GA
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Taxonomy #3
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Taxonomy Code | 363AS0400X
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Taxonomy Name | Surgical Physician Assistant
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License Number | 0110007636
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License Number State | VA
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Taxonomy #4
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Taxonomy Code | 363A00000X
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Taxonomy Name | Physician Assistant
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License Number | PA200002057
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License Number State | DC
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