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NPI 1568356988

NPI 1568356988 : CASSIDY HILL OD : BRUNSWICK, ME

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General NPI Number Information
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    NPI Number           |    1568356988
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    Entity Type          |    Individual 
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    Provider Name        |    CASSIDY HILL OD
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    Gender               |    Female 
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Dates
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    Enumeration Date     |    06/09/2025
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    Last Update Date     |    06/09/2025
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Provider Practice Location Address
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    Address Line         |    242 BATH RD 
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    City                 |    BRUNSWICK
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    State                |    ME
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    Zip                  |    04011-2646
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    Country              |    US
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    Telephone            |    207-389-3525
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    Fax                  |    
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Provider Business Mailing Address
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    Address Line         |    214 MUZZY RIDGE RD 
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    City                 |    SEARSMONT
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    State                |    ME
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    Zip                  |    04973-3310
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    Country              |    US
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    Telephone            |    207-805-2027
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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        |    152W00000X
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    Taxonomy Name        |    Optometrist
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    License Number       |    OPT1097
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    License Number State |    ME
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