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NPI Code Detail

MEDICARE: MR. DANIEL EDWARD CASSO

MEDICARE: MR. DANIEL EDWARD CASSO
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
11041C0700XClinical Social Worker

General Provider Information

NPI Number : 1447385554
Entity Type Code : Individual
Provider Name (Legal Business Name) : MR. DANIEL EDWARD CASSO
Provider Business Mailing Address
First Line : 1650 PEARL ST APT 22
Second Line :
City : DENVER
State : CO
Zip : 80203-1431
Country : US
Telephone Number : 303-818-1523
Fax Number :
Provider Business Practice Location Address
First Line : 2111 CHAMPA ST
Second Line :
City : DENVER
State : CO
Zip : 80205-2529
Country : US
Telephone Number : 303-293-2217
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 02/22/2007
Last Update Date : 06/19/2008

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Directions to “ MR. DANIEL EDWARD CASSO ” Practice Location

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