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NPI Code Detail

MEDICARE: CASSANDRA SHAFER

MEDICARE: CASSANDRA SHAFER
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1172V00000XCommunity Health WorkerOH

General Provider Information

NPI Number : 1619819398
Entity Type Code : Individual
Provider Name (Legal Business Name) : CASSANDRA SHAFER
Provider Business Mailing Address
First Line : PO BOX 132
Second Line :
City : ATHENS
State : OH
Zip : 45701-0132
Country : US
Telephone Number : 800-321-8293
Fax Number :
Provider Business Practice Location Address
First Line : 11 GRAHAM DR
Second Line :
City : ATHENS
State : OH
Zip : 45701-1430
Country : US
Telephone Number : 800-321-8293
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 04/09/2026
Last Update Date : 04/09/2026

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Directions to “ CASSANDRA SHAFER ” Practice Location

Language Start Address Practice Location
These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

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