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General NPI Number Information
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NPI Number | 1124182639
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Entity Type | Organization
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Legal Business Name | RICHARD S. CASDEN MD PC
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Dates
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Enumeration Date | 12/20/2006
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Last Update Date | 11/16/2012
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Provider Practice Location Address
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Address Line | 57 NORTH ST SUITE 415
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City | DANBURY
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State | CT
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Zip | 06810-5660
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Country | US
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Telephone | 203-794-0117
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Fax | 203-798-7048
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Provider Business Mailing Address
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Address Line | 57 NORTH ST SUITE 415
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City | DANBURY
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State | CT
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Zip | 06810-5660
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Country | US
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Telephone | 203-794-0117
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Fax | 203-798-7048
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Authorized Official
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Title or Position | OWNER
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Name | DR. RICHARD S CASDEN
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Credential | M.D.
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Telephone | 203-794-0117
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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 | 019603
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License Number State | CT
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