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General NPI Number Information
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NPI Number | 1164403937
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Entity Type | Individual
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Provider Name | SCOTT A CASSIDY MD
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Gender | Male
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Dates
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Enumeration Date | 11/09/2005
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Last Update Date | 11/07/2023
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Provider Practice Location Address
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Address Line | 83825 HIGHWAY 9
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City | ASHLAND
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State | AL
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Zip | 36251-7981
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Country | US
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Telephone | 256-496-2576
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Fax | 256-354-1129
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Provider Business Mailing Address
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Address Line | 83825 HIGHWAY 9
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City | ASHLAND
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State | AL
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Zip | 36251-7981
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Country | US
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Telephone | 256-496-2576
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Fax | 256-354-1129
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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 | 208600000X
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Taxonomy Name | Surgery Physician
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License Number | 036136916
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License Number State | IL
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Taxonomy #2
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Taxonomy Code | 208600000X
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Taxonomy Name | Surgery Physician
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License Number | 00025351
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License Number State | AL
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Taxonomy #3
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Taxonomy Code | 208600000X
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Taxonomy Name | Surgery Physician
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License Number | 62414
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License Number State | WI
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Taxonomy #4
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Taxonomy Code | 208600000X
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Taxonomy Name | Surgery Physician
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License Number | 25351
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License Number State | AL
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