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General NPI Number Information
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NPI Number | 1720869522
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Entity Type | Individual
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Provider Name | CASSANDRA LYNN REDFERN MS, RDN, CPT
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Gender | Female
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Dates
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Enumeration Date | 10/09/2023
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Last Update Date | 10/09/2023
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Provider Practice Location Address
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Address Line | 27 ALBANY ST
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City | PORTSMOUTH
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State | NH
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Zip | 03801-4976
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Country | US
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Telephone | 603-703-3643
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Fax |
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Provider Business Mailing Address
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Address Line | 39 STERLING HILL RD
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City | BARRINGTON
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State | NH
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Zip | 03825-7508
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Country | US
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Telephone | 603-540-7823
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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 | 133V00000X
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Taxonomy Name | Registered Dietitian
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License Number | 86278237
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License Number State | NH
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