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General NPI Number Information
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NPI Number | 1184744153
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Entity Type | Individual
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Provider Name | JOHN CASIL II P.T, DPT, G.C.S
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Gender | Male
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Dates
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Enumeration Date | 03/31/2007
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Last Update Date | 12/15/2008
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Provider Practice Location Address
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Address Line | 839 34TH ST NW SUITE 8
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City | CANTON
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State | OH
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Zip | 44709-2960
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Country | US
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Telephone | 330-234-1442
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Fax |
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Provider Business Mailing Address
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Address Line | 839 34TH ST NW SUITE 8
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City | CANTON
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State | OH
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Zip | 44709-2960
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Country | US
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Telephone | 330-234-1442
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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 | 2251G0304X
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Taxonomy Name | Geriatric Physical Therapist
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License Number | 10669
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License Number State | OH
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Taxonomy #2
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Taxonomy Code | 2251G0304X
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Taxonomy Name | Geriatric Physical Therapist
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License Number | 18540
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License Number State | PA
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Taxonomy #3
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Taxonomy Code | 2251G0304X
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Taxonomy Name | Geriatric Physical Therapist
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License Number | 34859
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License Number State | CA
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