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General NPI Number Information
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NPI Number | 1083141592
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Entity Type | Individual
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Provider Name | DANIEL JAMES CASEY MD
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Gender | Male
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Dates
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Enumeration Date | 05/15/2017
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Last Update Date | 07/22/2024
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Provider Practice Location Address
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Address Line | 350 W THOMAS RD
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City | PHOENIX
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State | AZ
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Zip | 85013-4409
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Country | US
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Telephone | 602-406-3153
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Fax | 602-406-7186
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Provider Business Mailing Address
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Address Line | 11339 S PIKES PEAK DR
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City | PARKER
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State | CO
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Zip | 80138-7333
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Country | US
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Telephone | 623-297-6465
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Fax |
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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 | 207QS0010X
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Taxonomy Name | Sports Medicine (Family Medicine) Physician
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License Number | DR.0072373
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License Number State | CO
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