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General NPI Number Information
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NPI Number | 1033303136
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Entity Type | Individual
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Provider Name | DR. CASEY T HUMMEL
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Gender | Male
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Dates
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Enumeration Date | 08/31/2007
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Last Update Date | 06/24/2011
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Provider Practice Location Address
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Address Line | 550 NORTH ANDOVER ROAD
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City | ANDOVER
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State | KS
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Zip | 67002
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Country | US
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Telephone | 316-733-8338
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Fax | 316-733-8343
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Provider Business Mailing Address
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Address Line | PO BOX 10053
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City | AUSTIN
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State | TX
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Zip | 78766-1053
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Country | US
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Telephone | 512-467-1100
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Fax | 512-467-1101
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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 | 111NS0005X
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Taxonomy Name | Sports Physician Chiropractor
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License Number | 01-05122
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License Number State | KS
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