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General NPI Number Information
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NPI Number | 1285249102
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Entity Type | Individual
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Provider Name | CASSANDRA NOELLE LEAMY PA-C
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Gender | Female
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Dates
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Enumeration Date | 09/09/2020
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Last Update Date | 10/20/2025
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Provider Practice Location Address
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Address Line | 1750 EL CAMINO REAL STE 202
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City | BURLINGAME
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State | CA
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Zip | 94010-3214
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Country | US
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Telephone | 650-692-9751
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Fax |
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Provider Business Mailing Address
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Address Line | 12 VIA CORBINA
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City | RANCHO SANTA MARGARITA
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State | CA
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Zip | 92688-8527
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Country | US
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Telephone | 949-584-2003
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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 | 363AM0700X
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Taxonomy Name | Medical Physician Assistant
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License Number | PA60651
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License Number State | CA
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