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General NPI Number Information
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NPI Number | 1518219062
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Entity Type | Individual
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Provider Name | CASSIE S BRODE PHD
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Gender | Female
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Dates
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Enumeration Date | 10/09/2012
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Last Update Date | 12/19/2025
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Provider Practice Location Address
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Address Line | 1000 MON HEALTH MEDICAL PARK DR STE 1202
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City | MORGANTOWN
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State | WV
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Zip | 26505-1143
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Country | US
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Telephone | 304-599-1975
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Fax |
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Provider Business Mailing Address
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Address Line | 8901 ROCKVILLE PIKE
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City | BETHESDA
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State | MD
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Zip | 20889-0001
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Country | US
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Telephone | 301-319-8654
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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 | 103T00000X
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Taxonomy Name | Psychologist
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License Number | 1125
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License Number State | WV
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