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NPI 1598553752

NPI 1598553752 : CASANDRA ANTOINETTE GALE DNP, PMHNP : SUDBURY, MA

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General NPI Number Information
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    NPI Number           |    1598553752
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    Entity Type          |    Individual 
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    Provider Name        |    CASANDRA ANTOINETTE GALE DNP, PMHNP
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    Gender               |    Female 
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Dates
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    Enumeration Date     |    04/28/2025
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    Last Update Date     |    04/28/2025
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Provider Practice Location Address
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    Address Line         |    144 NORTH RD STE 3450 
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    City                 |    SUDBURY
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    State                |    MA
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    Zip                  |    01776-1183
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    Country              |    US
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    Telephone            |    978-233-3054
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    Fax                  |    
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Provider Business Mailing Address
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    Address Line         |    1300 NEWBURY DR APT 1323 
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    City                 |    HOLDEN
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    State                |    MA
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    Zip                  |    01520-1568
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    Country              |    US
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    Telephone            |    774-222-5106
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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        |    2084P0800X
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    Taxonomy Name        |    Psychiatry Physician
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    License Number       |    RN2360447
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    License Number State |    MA
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