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General NPI Number Information
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NPI Number | 1184698722
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Entity Type | Individual
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Provider Name | MICHAEL P CASEY M.D.
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Gender | Male
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Dates
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Enumeration Date | 02/13/2006
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Last Update Date | 10/27/2011
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Provider Practice Location Address
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Address Line | 700 SPRUCE ST
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City | PHILADELPHIA
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State | PA
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Zip | 19106-4022
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Country | US
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Telephone | 215-829-5027
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Fax | 215-829-6391
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Provider Business Mailing Address
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Address Line | 368 THORNBROOK AVE
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City | ROSEMONT
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State | PA
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Zip | 19010-1660
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Country | US
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Telephone | 610-527-4123
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Fax |
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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 | 207RP1001X
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Taxonomy Name | Pulmonary Disease Physician
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License Number | MD016266E
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License Number State | PA
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