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General NPI Number Information
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NPI Number | 1639889868
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Entity Type | Individual
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Provider Name | CASSANDRA LYNN MCKERNAN P.A.
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Gender | Female
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Dates
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Enumeration Date | 11/29/2022
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Last Update Date | 10/20/2025
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Provider Practice Location Address
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Address Line | 7580 AUBURN ROAD STE. 301
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City | CONCORD TOWNSHIP
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State | OH
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Zip | 44077-9619
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Country | US
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Telephone | 440-352-7546
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Fax | 440-352-5260
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Provider Business Mailing Address
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Address Line | 2000 AUBURN DR. STE.350
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City | BEACHWOOD
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State | OH
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Zip | 44122-4327
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Country | US
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Telephone | 440-646-1600
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Fax | 440-646-1505
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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 | 363A00000X
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Taxonomy Name | Physician Assistant
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License Number | 1199527
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License Number State | OH
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Taxonomy #2
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Taxonomy Code | 363A00000X
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Taxonomy Name | Physician Assistant
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License Number | 50.007843RX
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License Number State | OH
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