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General NPI Number Information
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NPI Number | 1962008755
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Entity Type | Individual
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Provider Name | MADELINE CASS PA-C
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Gender | Female
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Dates
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Enumeration Date | 12/08/2020
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Last Update Date | 12/05/2025
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Provider Practice Location Address
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Address Line | 800 S JAMES CAMPBELL BLVD ST 100
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City | COLUMBIA
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State | TN
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Zip | 38401
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Country | US
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Telephone | 931-981-6930
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Fax |
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Provider Business Mailing Address
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Address Line | 304 W CHURCH ST
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City | LEWISBURG
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State | TN
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Zip | 37091-2730
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Country | US
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Telephone | 931-359-3551
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Fax | 931-359-8421
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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 | 363A00000X
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Taxonomy Name | Physician Assistant
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License Number | PA0000004215
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License Number State | TN
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