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General NPI Number Information
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NPI Number | 1528604634
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Entity Type | Individual
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Provider Name | CASSANDRA NAVARRETE CANTU NP
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Gender | Female
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Dates
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Enumeration Date | 11/24/2019
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Last Update Date | 01/26/2022
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Provider Practice Location Address
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Address Line | 3725 E LEAGUE CITY PKWY STE 240
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City | LEAGUE CITY
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State | TX
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Zip | 77573-7373
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Country | US
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Telephone | 281-223-1082
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Fax |
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Provider Business Mailing Address
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Address Line | 241 ATLANTIC ST
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City | ANGLETON
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State | TX
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Zip | 77515-8119
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Country | US
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Telephone | 979-236-3932
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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 | 363LF0000X
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Taxonomy Name | Family Nurse Practitioner
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License Number | 142886
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License Number State | TX
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Taxonomy #2
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Taxonomy Code | 363L00000X
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Taxonomy Name | Nurse Practitioner
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License Number | AP142886
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License Number State | TX
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