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General NPI Number Information
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NPI Number | 1215152616
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Entity Type | Individual
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Provider Name | MOLLY CASSADY RN
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Gender | Female
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Dates
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Enumeration Date | 04/13/2007
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Last Update Date | 07/08/2007
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Provider Practice Location Address
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Address Line | 311 ALBERT SABIN WAY
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City | CINCINNATI
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State | OH
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Zip | 45229-2801
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Country | US
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Telephone | 513-558-5801
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Fax |
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Provider Business Mailing Address
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Address Line | 3435 TRASKWOOD CIR APT A
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City | CINCINNATI
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State | OH
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Zip | 45208-1851
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Country | US
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Telephone | 513-558-5801
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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 | 163WP0807X
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Taxonomy Name | Child & Adolescent Psychiatric/Mental Health Registered Nurse
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License Number | RN131742
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License Number State | OH
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