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General NPI Number Information
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NPI Number | 1710876339
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Entity Type | Individual
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Provider Name | CASSANDRA SLATE PT
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Gender | Female
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Dates
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Enumeration Date | 06/30/2025
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Last Update Date | 06/30/2025
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Provider Practice Location Address
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Address Line | 5220 S UNIVERSITY DR # C209
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City | DAVIE
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State | FL
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Zip | 33328-5317
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Country | US
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Telephone | 954-406-8998
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Fax |
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Provider Business Mailing Address
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Address Line | 3301 NE 32ND AVE APT 302
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City | FORT LAUDERDALE
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State | FL
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Zip | 33308-7130
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Country | US
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Telephone | 305-218-8523
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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 | 225100000X
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Taxonomy Name | Physical Therapist
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License Number | PT42909
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License Number State | FL
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