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General NPI Number Information
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NPI Number | 1578319745
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Entity Type | Individual
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Provider Name | CASSIAN A KRUSE AU.D.
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Gender | Female
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Dates
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Enumeration Date | 04/27/2024
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Last Update Date | 04/27/2024
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Provider Practice Location Address
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Address Line | 5800 CAMPUS CIRCLE DR E STE 200A
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City | IRVING
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State | TX
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Zip | 75063-2701
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Country | US
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Telephone | 888-852-1988
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Fax |
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Provider Business Mailing Address
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Address Line | 2001 COLORADO BLVD APT C
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City | DENTON
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State | TX
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Zip | 76205-7568
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Country | US
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Telephone |
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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 |
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License Number State |
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