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General NPI Number Information
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NPI Number | 1033311121
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Entity Type | Individual
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Provider Name | TODD CASSESE M.D.
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Gender | Male
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Dates
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Enumeration Date | 06/01/2007
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Last Update Date | 12/09/2011
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Provider Practice Location Address
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Address Line | 275 MOUNT CARMEL AVENUE FRANK NETTER SCHOOL OF MEDICINE
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City | HAMDEN
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State | CT
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Zip | 06518
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Country | US
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Telephone | 203-582-3544
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Fax | 203-582-1418
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Provider Business Mailing Address
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Address Line | 275 MOUNT CARMEL AVENUE FRANK NETTER SCHOOL OF MEDICINE
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City | HAMDEN
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State | CT
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Zip | 06518
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Country | US
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Telephone | 203-582-3544
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Fax | 203-582-1418
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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 | 202C00000X
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Taxonomy Name | Independent Medical Examiner Physician
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License Number | 049028
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License Number State | CT
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Taxonomy #2
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Taxonomy Code | 207R00000X
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Taxonomy Name | Internal Medicine Physician
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License Number | MD437241
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License Number State | PA
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Taxonomy #3
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Taxonomy Code | 207R00000X
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Taxonomy Name | Internal Medicine Physician
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License Number | 049028
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License Number State | CT
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Taxonomy #4
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Taxonomy Code | 208M00000X
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Taxonomy Name | Hospitalist Physician
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License Number | MD437241
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License Number State | PA
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Taxonomy #5
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Taxonomy Code | 208M00000X
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Taxonomy Name | Hospitalist Physician
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License Number | 049028
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License Number State | CT
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