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General NPI Number Information
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NPI Number | 1184827313
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Entity Type | Individual
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Provider Name | PETER ANTHONY CASO DDS
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Gender | Male
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Dates
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Enumeration Date | 06/06/2007
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Last Update Date | 07/08/2007
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Provider Practice Location Address
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Address Line | 5525 LOCUST LANE
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City | HARRISBURG
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State | PA
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Zip | 17109
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Country | US
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Telephone | 717-652-6352
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Fax | 717-541-0771
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Provider Business Mailing Address
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Address Line | 220 BITTERSWEET DR
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City | HERSHEY
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State | PA
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Zip | 17033-2609
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Country | US
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Telephone | 717-533-9327
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Fax | 717-541-0771
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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 | 1223P0221X
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Taxonomy Name | Pediatric Dentistry
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License Number | DS022089L
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License Number State | PA
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