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NPI 1164494464

NPI 1164494464 : ANDREW STEVEN CASS OD : COCONUT CREEK, FL

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General NPI Number Information
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    NPI Number           |    1164494464
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    Entity Type          |    Individual 
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    Provider Name        |    ANDREW STEVEN CASS OD
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    Gender               |    Male 
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Dates
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    Enumeration Date     |    02/02/2006
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    Last Update Date     |    12/06/2010
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Provider Practice Location Address
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    Address Line         |    1502 CAYMAN WAY C4
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    City                 |    COCONUT CREEK
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    State                |    FL
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    Zip                  |    33066-3203
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    Country              |    US
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    Telephone            |    954-234-4453
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    Fax                  |    954-978-0664
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Provider Business Mailing Address
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    Address Line         |    1502 CAYMAN WAY C4
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    City                 |    COCONUT CREEK
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    State                |    FL
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    Zip                  |    33066-3203
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    Country              |    US
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    Telephone            |    954-234-4453
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    Fax                  |    954-978-0664
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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        |    152W00000X
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    Taxonomy Name        |    Optometrist
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    License Number       |    TUV006815
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    License Number State |    NY
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Taxonomy #2
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    Taxonomy Code        |    152W00000X
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    Taxonomy Name        |    Optometrist
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    License Number       |    OPC3879
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    License Number State |    FL
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Taxonomy #3
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    Taxonomy Code        |    152WL0500X
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    Taxonomy Name        |    Low Vision Rehabilitation Optometrist
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    License Number       |    OPC3879
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    License Number State |    FL
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