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General NPI Number Information
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NPI Number | 1427632694
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Entity Type | Individual
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Provider Name | CASSANDRA KIM
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Gender | Female
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Dates
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Enumeration Date | 05/12/2021
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Last Update Date | 01/22/2026
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Provider Practice Location Address
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Address Line | 230 W GALBRAITH RD
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City | CINCINNATI
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State | OH
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Zip | 45215-5223
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Country | US
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Telephone | 513-740-1950
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Fax |
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Provider Business Mailing Address
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Address Line | 431 ELM ST
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City | LUDLOW
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State | KY
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Zip | 41016-1427
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Country | US
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Telephone | 740-590-1362
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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 | 225100000X
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Taxonomy Name | Physical Therapist
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License Number | 008243
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License Number State | KY
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Taxonomy #2
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Taxonomy Code | 225100000X
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Taxonomy Name | Physical Therapist
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License Number |
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License Number State |
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Taxonomy #3
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Taxonomy Code | 225100000X
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Taxonomy Name | Physical Therapist
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License Number | PT019563
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License Number State | OH
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