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General NPI Number Information
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NPI Number | 1821119140
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Entity Type | Individual
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Provider Name | BILLIE KATHLEEN CASSE D.O.
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Gender | Female
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Dates
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Enumeration Date | 04/03/2007
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Last Update Date | 05/12/2022
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Provider Practice Location Address
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Address Line | 5452 RENO CORPORATE DR
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City | RENO
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State | NV
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Zip | 89511-2250
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Country | US
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Telephone | 775-245-2426
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Fax | 775-245-2380
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Provider Business Mailing Address
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Address Line | 5452 RENO CORPORATE DR
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City | RENO
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State | NV
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Zip | 89511-2250
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Country | US
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Telephone | 775-245-2426
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Fax | 775-245-2380
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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 | 207N00000X
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Taxonomy Name | Dermatology Physician
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License Number | AS-2762032-274
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License Number State | MI
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Taxonomy #2
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Taxonomy Code | 207N00000X
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Taxonomy Name | Dermatology Physician
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License Number | DO1493
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License Number State | NV
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