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General NPI Number Information
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NPI Number | 1982883179
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Entity Type | Organization
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Legal Business Name | CARE BY CASSIE INC
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Dates
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Enumeration Date | 10/24/2007
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Last Update Date | 05/21/2015
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Provider Practice Location Address
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Address Line | 15010 E 51ST ST
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City | KANSAS CITY
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State | MO
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Zip | 64136-1142
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Country | US
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Telephone | 816-478-9031
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Fax | 816-350-3406
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Provider Business Mailing Address
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Address Line | 4230 S PHELPS RD
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City | INDEPENDENCE
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State | MO
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Zip | 64055-5067
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Country | US
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Telephone | 816-478-9031
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Fax | 816-350-3406
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Authorized Official
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Title or Position | DIRECTOR/OWNER
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Name | MS. CASSANDRA MICHELLE CLARK WHEELER
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Credential |
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Telephone | 816-478-9031
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 320900000X
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Taxonomy Name | Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility
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License Number | 1410-9246
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License Number State | MO
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