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General NPI Number Information
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NPI Number | 1245657998
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Entity Type | Individual
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Provider Name | CASSANDRA CASTLE LPN
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Gender | Female
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Dates
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Enumeration Date | 03/19/2014
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Last Update Date | 03/19/2014
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Provider Practice Location Address
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Address Line | 3963 WHIPPER BARONY LN CHARLESTON COUNTY HEALTH DEPARTMENT/NORTH AREA CLINIC
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City | NORTH CHARLESTON
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State | SC
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Zip | 29405-7162
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Country | US
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Telephone | 843-740-1580
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Fax | 843-744-3671
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Provider Business Mailing Address
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Address Line | 309 ROYAL PALM BLVD APT 203
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City | CHARLESTON
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State | SC
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Zip | 29407-3274
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Country | US
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Telephone | 843-740-1580
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Fax | 843-744-3671
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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 | 172V00000X
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Taxonomy Name | Community Health Worker
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License Number | P15095
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License Number State | SC
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