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General NPI Number Information
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NPI Number | 1376406231
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Entity Type | Individual
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Provider Name | CASSANDRA RIONNA BAER
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Gender | Female
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Dates
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Enumeration Date | 12/08/2025
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Last Update Date | 12/10/2025
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Provider Practice Location Address
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Address Line | 613 N 204TH AVENUE CIR
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City | ELKHORN
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State | NE
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Zip | 68022-1830
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Country | US
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Telephone | 402-819-4059
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Fax | 919-561-6612
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Provider Business Mailing Address
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Address Line | 382 NE 191ST ST STE 98090
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City | MIAMI
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State | FL
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Zip | 33179-3899
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Country | US
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Telephone | 651-431-6628
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Fax | 919-561-6612
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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 | 106S00000X
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Taxonomy Name | Behavior Technician
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License Number |
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License Number State |
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