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General NPI Number Information
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NPI Number | 1265524169
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Entity Type | Individual
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Provider Name | GRISELLE CASADO MD
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Gender | Female
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Dates
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Enumeration Date | 09/28/2006
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Last Update Date | 07/08/2007
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Provider Practice Location Address
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Address Line | 401 AVE AMERICO MIRANDA APT. 106-A
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City | SAN JUAN
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State | PR
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Zip | 00927-4632
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Country | US
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Telephone | 787-283-6663
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Fax | 787-641-4380
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Provider Business Mailing Address
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Address Line | COOP LOS ROBLES APT. 106-A
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City | SAN JUAN
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State | PR
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Zip | 00927
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Country | US
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Telephone | 787-283-6663
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Fax | 787-641-4380
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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 | 207L00000X
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Taxonomy Name | Anesthesiology Physician
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License Number | 14333
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License Number State | PR
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