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General NPI Number Information
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NPI Number | 1336805597
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Entity Type | Individual
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Provider Name | CASSANDRA SULLIVAN PHARM D
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Gender | Female
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Dates
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Enumeration Date | 11/11/2021
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Last Update Date | 01/31/2025
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Provider Practice Location Address
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Address Line | 4111 WILLIAM PN HWY
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City | MONROEVILLE
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State | PA
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Zip | 15146
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Country | US
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Telephone | 412-372-5288
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Fax | 412-374-9089
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Provider Business Mailing Address
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Address Line | 4931 PLUM WAY
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City | PITTSBURGH
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State | PA
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Zip | 15201
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Country | US
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Telephone | 724-289-6657
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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 | 183700000X
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Taxonomy Name | Pharmacy Technician
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License Number |
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License Number State |
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Taxonomy #2
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Taxonomy Code | 183500000X
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Taxonomy Name | Pharmacist
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License Number | RP459098
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License Number State | PA
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