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General NPI Number Information
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NPI Number | 1245155316
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Entity Type | Individual
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Provider Name | CASSANDRA MONTANIO
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Gender | Female
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Dates
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Enumeration Date | 08/10/2026
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Last Update Date | 08/10/2026
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Provider Practice Location Address
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Address Line | 2985 TRIVERTON PIKE DR STE 201
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City | FITCHBURG
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State | WI
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Zip | 53711-5803
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Country | US
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Telephone | 608-238-9991
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Fax |
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Provider Business Mailing Address
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Address Line | 7613 CONIFER CT
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City | DEFOREST
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State | WI
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Zip | 53532-2157
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Country | US
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Telephone | 608-332-6461
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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 | 101Y00000X
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Taxonomy Name | Counselor
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License Number | 11772-125
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License Number State | WI
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