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General NPI Number Information
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NPI Number | 1225932262
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Entity Type | Individual
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Provider Name | CASSANDRA BUTLER RN
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Gender | Female
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Dates
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Enumeration Date | 10/05/2026
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Last Update Date | 10/05/2026
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Provider Practice Location Address
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Address Line | 10600 INDIAN SCHOOL RD NE
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City | ALBUQUERQUE
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State | NM
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Zip | 87112-3101
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Country | US
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Telephone | 505-299-7377
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Fax |
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Provider Business Mailing Address
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Address Line | 22 WILDLIFE TRL
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City | EDGEWOOD
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State | NM
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Zip | 87015-8075
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Country | US
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Telephone | 435-990-1508
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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 | 163WS0200X
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Taxonomy Name | School Registered Nurse
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License Number | 75460
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License Number State | NM
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