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General NPI Number Information
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NPI Number | 1497250666
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Entity Type | Individual
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Provider Name | CASSANDRA LEE LAMOUNTAIN NP-C
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Gender | Female
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Dates
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Enumeration Date | 03/28/2018
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Last Update Date | 07/22/2025
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Provider Practice Location Address
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Address Line | 1540 PONTIAC AVE
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City | CRANSTON
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State | RI
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Zip | 02920-4472
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Country | US
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Telephone | 401-781-0537
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Fax |
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Provider Business Mailing Address
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Address Line | 1540 PONTIAC AVE
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City | CRANSTON
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State | RI
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Zip | 02920-4472
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Country | US
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Telephone | 401-781-0537
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Fax | 401-781-1062
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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 | 363LF0000X
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Taxonomy Name | Family Nurse Practitioner
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License Number | APRN01796
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License Number State | RI
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