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General NPI Number Information
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NPI Number | 1508375874
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Entity Type | Individual
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Provider Name | CASSANDRA THOMPSON-BAILEY ARNP
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Gender | Female
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Dates
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Enumeration Date | 09/29/2017
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Last Update Date | 09/29/2017
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Provider Practice Location Address
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Address Line | 600 N US HWY 17 92 SUITE 124
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City | LONGWOOD
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State | FL
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Zip | 32750
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Country | US
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Telephone | 407-876-6699
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Fax |
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Provider Business Mailing Address
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Address Line | 881 BROOKFIELD PL
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City | APOPKA
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State | FL
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Zip | 32712-4860
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Country | US
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Telephone | 407-473-0125
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Fax | 407-886-0716
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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 | 363LA2200X
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Taxonomy Name | Adult Health Nurse Practitioner
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License Number | NP9242046
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License Number State | FL
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