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General NPI Number Information
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NPI Number | 1134671266
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Entity Type | Organization
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Legal Business Name | CASTER PRIMARY CARE LLC
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Dates
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Enumeration Date | 10/24/2016
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Last Update Date | 11/21/2016
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Provider Practice Location Address
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Address Line | 737 E MAIN ST STE D
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City | LANCASTER
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State | OH
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Zip | 43130-3937
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Country | US
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Telephone | 740-277-2544
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Fax | 740-277-2543
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Provider Business Mailing Address
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Address Line | 737 E MAIN ST STE D
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City | LANCASTER
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State | OH
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Zip | 43130-3937
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Country | US
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Telephone | 740-277-2544
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Fax | 740-277-2543
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Authorized Official
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Title or Position | PHYSICIAN / OWNER
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Name | DR. MIKAEL SCHILB
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Credential | D.O.
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Telephone | 740-277-2544
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207Q00000X
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Taxonomy Name | Family Medicine Physician
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License Number | 34012165
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License Number State | OH
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