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General NPI Number Information
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NPI Number | 1841543758
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Entity Type | Individual
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Provider Name | CASSANDRA NADEAN SOHN HHP, MT
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Gender | Female
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Dates
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Enumeration Date | 10/17/2012
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Last Update Date | 10/17/2012
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Provider Practice Location Address
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Address Line | 7866 LA MESA BLVD SUITE B
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City | LA MESA
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State | CA
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Zip | 91942-0633
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Country | US
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Telephone | 619-985-7153
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Fax |
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Provider Business Mailing Address
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Address Line | PO BOX 2074
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City | LA MESA
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State | CA
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Zip | 91943-2074
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Country | US
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Telephone | 619-985-7153
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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 | 225700000X
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Taxonomy Name | Massage Therapist
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License Number | 014263
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License Number State | CA
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