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General NPI Number Information
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NPI Number | 1174600548
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Entity Type | Organization
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Legal Business Name | ABBE M. CASSITY DO PSC
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Dates
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Enumeration Date | 11/01/2006
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Last Update Date | 06/21/2018
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Provider Practice Location Address
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Address Line | 1816 CARTER AVE
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City | ASHLAND
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State | KY
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Zip | 41101-7643
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Country | US
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Telephone | 606-920-9595
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Fax | 606-920-9605
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Provider Business Mailing Address
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Address Line | 1816 CARTER AVE
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City | ASHLAND
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State | KY
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Zip | 41101-7643
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Country | US
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Telephone | 606-920-9595
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Fax | 606-920-9605
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Authorized Official
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Title or Position | OSTEOPATHIC PHYSICIAN
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Name | DR. ABBE M CASSITY
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Credential | DO
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Telephone | 606-920-9595
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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 | 02973
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License Number State | KY
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