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General NPI Number Information
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NPI Number | 1669364170
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Entity Type | Individual
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Provider Name | CASSANDRA NICOLE AMSHOFF PA
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Gender | Female
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Dates
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Enumeration Date | 07/18/2025
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Last Update Date | 09/29/2025
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Provider Practice Location Address
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Address Line | 6641 DIXIE HWY
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City | LOUISVILLE
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State | KY
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Zip | 40258-3909
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Country | US
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Telephone | 502-364-0902
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Fax |
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Provider Business Mailing Address
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Address Line | 2713 FLAT ROCK RD
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City | LOUISVILLE
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State | KY
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Zip | 40245-4862
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Country | US
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Telephone | 502-974-1863
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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 | 363A00000X
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Taxonomy Name | Physician Assistant
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License Number | TC136
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License Number State | KY
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