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General NPI Number Information
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NPI Number | 1952109019
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Entity Type | Individual
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Provider Name | CASSIDY CATHERINE JASTER
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Gender | Female
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Dates
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Enumeration Date | 03/05/2025
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Last Update Date | 03/12/2025
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Provider Practice Location Address
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Address Line | 970 20TH RD
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City | WEST POINT
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State | NE
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Zip | 68788-3547
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Country | US
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Telephone | 402-380-1464
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Fax |
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Provider Business Mailing Address
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Address Line | 101 JAN SCHEREE DR
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City | OAKLAND
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State | NE
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Zip | 68045-1523
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Country | US
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Telephone | 402-910-0523
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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 | 104100000X
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Taxonomy Name | Social Worker
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License Number |
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License Number State |
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Taxonomy #2
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Taxonomy Code | 385HR2060X
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Taxonomy Name | Child Intellectual and/or Developmental Disabilities Respite Care
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License Number |
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License Number State | NE
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