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General NPI Number Information
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NPI Number | 1538471685
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Entity Type | Individual
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Provider Name | JESSIE L CASSADA AU.D., F-AAA
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Gender | Female
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Dates
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Enumeration Date | 07/06/2010
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Last Update Date | 04/17/2019
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Provider Practice Location Address
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Address Line | 44 BIRCH ST STE 304A
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City | DERRY
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State | NH
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Zip | 03038-2752
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Country | US
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Telephone | 603-432-8104
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Fax |
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Provider Business Mailing Address
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Address Line | 44 BIRCH ST STE 304
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City | DERRY
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State | NH
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Zip | 03038-2752
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Country | US
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Telephone | 603-880-0090
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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 | 231H00000X
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Taxonomy Name | Audiologist
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License Number | 998
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License Number State | MA
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Taxonomy #2
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Taxonomy Code | 231H00000X
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Taxonomy Name | Audiologist
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License Number | 8052577
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License Number State | VT
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Taxonomy #3
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Taxonomy Code | 231H00000X
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Taxonomy Name | Audiologist
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License Number | A587
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License Number State | NH
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