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General NPI Number Information
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NPI Number | 1346618345
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Entity Type | Organization
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Legal Business Name | CASSANDRA HOSKINS LPC
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Dates
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Enumeration Date | 09/08/2015
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Last Update Date | 09/08/2015
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Provider Practice Location Address
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Address Line | 1702 S SIDE BLVD
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City | GREENSBORO
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State | NC
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Zip | 27406-3119
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Country | US
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Telephone | 336-339-3824
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Fax |
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Provider Business Mailing Address
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Address Line | 1702 S SIDE BLVD
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City | GREENSBORO
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State | NC
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Zip | 27406-3119
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Country | US
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Telephone | 336-339-3824
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Fax |
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Authorized Official
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Title or Position | SOLE PROPRIETER
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Name | MS. CASSANDRA PATTERSON HOSKINS
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Credential | MS, LPC
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Telephone | 336-339-3824
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 251S00000X
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Taxonomy Name | Community/Behavioral Health Agency
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License Number | 6586
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License Number State | NC
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