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General NPI Number Information
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NPI Number | 1255867693
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Entity Type | Individual
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Provider Name | CASSANDRA HUANG MD
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Gender | Female
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Dates
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Enumeration Date | 05/04/2017
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Last Update Date | 08/21/2020
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Provider Practice Location Address
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Address Line | 4500 SE COLUMBIA PALISADES DRIVE
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City | CAMAS
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State | WA
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Zip | 98607-9860
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Country | US
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Telephone | 360-882-2778
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Fax |
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Provider Business Mailing Address
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Address Line | 700 NE 87TH AVE
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City | VANCOUVER
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State | WA
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Zip | 98664-4896
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Country | US
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Telephone | 360-882-2778
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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 | 207Q00000X
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Taxonomy Name | Family Medicine Physician
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License Number | MD61052921
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License Number State | WA
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