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NPI 1124180880

NPI 1124180880 : GARY H CASSEL MD : OWINGS MILLS, MD

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General NPI Number Information
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    NPI Number           |    1124180880
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    Entity Type          |    Individual 
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    Provider Name        |    GARY H CASSEL MD
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    Gender               |    Male 
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Dates
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    Enumeration Date     |    12/15/2006
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    Last Update Date     |    02/05/2025
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Provider Practice Location Address
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    Address Line         |    23 CROSSROADS DR STE 310 
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    City                 |    OWINGS MILLS
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    State                |    MD
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    Zip                  |    21117-5478
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    Country              |    US
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    Telephone            |    410-581-1500
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    Fax                  |    410-581-0577
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Provider Business Mailing Address
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    Address Line         |    PO BOX 527 
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    City                 |    LUTHERVILLE
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    State                |    MD
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    Zip                  |    21094-0527
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    Country              |    US
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    Telephone            |    410-828-9270
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    Fax                  |    410-321-0124
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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        |    207W00000X
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    Taxonomy Name        |    Ophthalmology Physician
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    License Number       |    D24345
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    License Number State |    MD
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