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General NPI Number Information
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NPI Number | 1255719324
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Entity Type | Individual
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Provider Name | CASSANDRA JUANITA KAISER D.O.
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Gender | Female
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Dates
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Enumeration Date | 05/11/2015
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Last Update Date | 03/19/2025
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Provider Practice Location Address
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Address Line | 55 FRUIT ST
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City | BOSTON
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State | MA
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Zip | 02114-2621
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Country | US
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Telephone | 940-765-9499
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Fax |
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Provider Business Mailing Address
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Address Line | 11741 HUMBERSIDE DR
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City | FRISCO
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State | TX
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Zip | 75035-7794
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Country | US
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Telephone | 940-765-9499
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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 | 208100000X
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Taxonomy Name | Physical Medicine & Rehabilitation Physician
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License Number | 83833
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License Number State | GA
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Taxonomy #2
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Taxonomy Code | 208100000X
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Taxonomy Name | Physical Medicine & Rehabilitation Physician
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License Number | 1021270
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License Number State | MA
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Taxonomy #3
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Taxonomy Code | 208100000X
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Taxonomy Name | Physical Medicine & Rehabilitation Physician
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License Number | 325621-01
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License Number State | NY
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Taxonomy #4
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Taxonomy Code | 208100000X
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Taxonomy Name | Physical Medicine & Rehabilitation Physician
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License Number | OP61672550
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License Number State | WA
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