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General NPI Number Information
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NPI Number | 1952716086
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Entity Type | Individual
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Provider Name | CASSANDRA LYNN CASE NP-C
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Gender | Female
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Dates
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Enumeration Date | 06/27/2014
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Last Update Date | 09/20/2018
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Provider Practice Location Address
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Address Line | 808 MAIN ST
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City | HURON
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State | OH
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Zip | 44839-2542
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Country | US
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Telephone | 419-433-6117
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Fax | 419-433-7226
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Provider Business Mailing Address
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Address Line | PO BOX 378
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City | SANDUSKY
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State | OH
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Zip | 44871-0378
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Country | US
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Telephone | 419-609-1112
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Fax | 419-609-1123
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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 | 363LF0000X
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Taxonomy Name | Family Nurse Practitioner
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License Number | COA.15845-NP
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License Number State | OH
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