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General NPI Number Information
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NPI Number | 1316219835
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Entity Type | Individual
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Provider Name | CASSIE A PITTMAN CRNA
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Gender | Female
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Dates
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Enumeration Date | 01/30/2012
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Last Update Date | 07/16/2025
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Provider Practice Location Address
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Address Line | 701 E FM 1626 STE 300
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City | AUSTIN
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State | TX
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Zip | 78748-6035
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Country | US
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Telephone | 855-876-7246
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Fax | 855-277-5070
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Provider Business Mailing Address
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Address Line | PO BOX 208357
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City | DALLAS
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State | TX
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Zip | 75320-8357
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Country | US
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Telephone | 512-485-7208
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Fax | 737-304-0942
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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 | 163W00000X
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Taxonomy Name | Registered Nurse
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License Number | 810168
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License Number State | TX
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Taxonomy #2
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Taxonomy Code | 367500000X
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Taxonomy Name | Certified Registered Nurse Anesthetist
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License Number | AP121445
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License Number State | TX
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