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General NPI Number Information
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NPI Number | 1285218628
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Entity Type | Individual
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Provider Name | CASSANDRA WRIGHSTER RN
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Gender | Female
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Dates
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Enumeration Date | 05/11/2021
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Last Update Date | 05/11/2021
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Provider Practice Location Address
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Address Line | 9106 BALLARD DR
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City | CHATSWORTH
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State | CA
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Zip | 91311-5771
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Country | US
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Telephone | 818-307-8246
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Fax | 800-859-8199
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Provider Business Mailing Address
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Address Line | 9106 BALLARD DR
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City | CHATSWORTH
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State | CA
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Zip | 91311-5771
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Country | US
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Telephone | 818-307-8246
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Fax | 800-859-8199
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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 | 163WG0000X
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Taxonomy Name | General Practice Registered Nurse
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License Number | 447428
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License Number State | CA
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