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General NPI Number Information
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NPI Number | 1336983105
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Entity Type | Individual
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Provider Name | CASSANDRA SERENE DENGLER ARNP, PMHNP
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Gender | Female
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Dates
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Enumeration Date | 06/25/2024
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Last Update Date | 10/23/2024
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Provider Practice Location Address
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Address Line | 117 N 1ST ST STE 55
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City | MOUNT VERNON
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State | WA
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Zip | 98273-2858
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Country | US
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Telephone | 360-588-4950
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Fax |
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Provider Business Mailing Address
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Address Line | 1730 LABOUNTY DR STE 9-24
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City | FERNDALE
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State | WA
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Zip | 98248-8959
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Country | US
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Telephone | 360-404-7463
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Fax | 360-282-0734
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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 | 363LP0808X
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Taxonomy Name | Psychiatric/Mental Health Nurse Practitioner
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License Number | AP61574970
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License Number State | WA
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