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General NPI Number Information
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NPI Number | 1780413625
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Entity Type | Individual
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Provider Name | CASSANDRA ALEXIS NOLDER AU.D., CCC-A
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Gender | Female
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Dates
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Enumeration Date | 07/30/2024
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Last Update Date | 09/17/2025
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Provider Practice Location Address
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Address Line | 6242 POPLAR AVE STE 1
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City | MEMPHIS
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State | TN
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Zip | 38119-4730
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Country | US
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Telephone | 901-842-4327
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Fax | 901-842-4330
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Provider Business Mailing Address
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Address Line | 11767 S DIXIE HWY # 122
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City | PINECREST
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State | FL
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Zip | 33156-4438
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Country | US
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Telephone | 346-291-2206
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Fax | 346-291-2206
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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 | 231H00000X
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Taxonomy Name | Audiologist
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License Number | AY2835
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License Number State | FL
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Taxonomy #2
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Taxonomy Code | 231H00000X
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Taxonomy Name | Audiologist
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License Number | 2283
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License Number State | TN
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