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General NPI Number Information
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NPI Number | 1639984818
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Entity Type | Individual
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Provider Name | CASSIE NGO RN
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Gender | Female
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Dates
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Enumeration Date | 02/12/2025
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Last Update Date | 02/12/2025
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Provider Practice Location Address
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Address Line | 1357 OAKLAND CT
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City | WALNUT CREEK
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State | CA
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Zip | 94596-4337
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Country | US
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Telephone | 935-935-3010
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Fax |
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Provider Business Mailing Address
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Address Line | 2185 PACHECO ST
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City | CONCORD
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State | CA
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Zip | 94520-2309
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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 | 163WW0101X
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Taxonomy Name | Ambulatory Women's Health Care Registered Nurse
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License Number | 95166153
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License Number State | CA
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