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General NPI Number Information
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NPI Number | 1225570286
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Entity Type | Individual
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Provider Name | CASSANDRA L WIBLE FNP
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Gender | Female
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Dates
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Enumeration Date | 11/08/2016
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Last Update Date | 09/14/2025
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Provider Practice Location Address
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Address Line | 4610 S ULSTER ST STE 150
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City | DENVER
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State | CO
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Zip | 80237-4326
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Country | US
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Telephone | 888-803-3370
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Fax | 888-803-3331
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Provider Business Mailing Address
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Address Line | 1500 N GRANT ST # 5983
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City | DENVER
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State | CO
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Zip | 80203-1859
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Country | US
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Telephone | 618-558-7179
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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 | 363LF0000X
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Taxonomy Name | Family Nurse Practitioner
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License Number | 209015116
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License Number State | IL
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Taxonomy #2
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Taxonomy Code | 363L00000X
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Taxonomy Name | Nurse Practitioner
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License Number | 277001899
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License Number State | IL
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Taxonomy #3
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Taxonomy Code | 363L00000X
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Taxonomy Name | Nurse Practitioner
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License Number | APN.0998651-NP
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License Number State | CO
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Taxonomy #4
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Taxonomy Code | 363L00000X
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Taxonomy Name | Nurse Practitioner
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License Number | 202207763NP-PP
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License Number State | OR
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