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General NPI Number Information
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NPI Number | 1780178210
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Entity Type | Individual
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Provider Name | CASSONDRA MARIE NATION
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Gender | Female
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Dates
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Enumeration Date | 06/18/2018
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Last Update Date | 12/03/2025
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Provider Practice Location Address
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Address Line | 409 EAGLE RIDGE DR
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City | CHATHAM
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State | IL
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Zip | 62629-2008
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Country | US
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Telephone | 217-280-3726
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Fax | 217-670-2582
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Provider Business Mailing Address
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Address Line | 409 EAGLE RIDGE DR
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City | CHATHAM
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State | IL
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Zip | 62629-2008
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Country | US
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Telephone | 217-280-3726
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Fax | 217-670-2582
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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 | 222Q00000X
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Taxonomy Name | Developmental Therapist
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License Number |
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License Number State |
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