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General NPI Number Information
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NPI Number | 1932738440
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Entity Type | Individual
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Provider Name | CASSANDRA CARR DO
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Gender | Female
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Dates
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Enumeration Date | 04/06/2020
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Last Update Date | 12/08/2025
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Provider Practice Location Address
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Address Line | 23265 HIGHWAY 76 E
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City | CLINTON
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State | SC
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Zip | 29325-7532
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Country | US
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Telephone | 864-547-8300
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Fax |
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Provider Business Mailing Address
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Address Line | 144 GULLIVER ST
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City | FOUNTAIN INN
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State | SC
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Zip | 29644-1919
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Country | US
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Telephone | 828-448-5810
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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 | 208000000X
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Taxonomy Name | Pediatrics Physician
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License Number | 89899
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License Number State | SC
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