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General NPI Number Information
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NPI Number | 1972450476
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Entity Type | Individual
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Provider Name | CASSIE ANGLEA GRACIA
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Gender | Female
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Dates
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Enumeration Date | 03/13/2026
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Last Update Date | 03/13/2026
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Provider Practice Location Address
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Address Line | 5619 LA CANA DR
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City | HARLINGEN
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State | TX
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Zip | 78552-8973
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Country | US
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Telephone | 956-341-6911
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Fax |
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Provider Business Mailing Address
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Address Line | 101 SILVERMINE RD STE 300
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City | BROOKFIELD
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State | CT
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Zip | 06804-2047
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Country | US
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Telephone | 888-374-0835
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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 | 225200000X
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Taxonomy Name | Physical Therapy Assistant
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License Number | 2161795
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License Number State | TX
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