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General NPI Number Information
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NPI Number | 1336149392
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Entity Type | Individual
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Provider Name | STEVEN CHARLES CASSIDY MD
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Gender | Male
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Dates
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Enumeration Date | 07/29/2005
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Last Update Date | 04/21/2025
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Provider Practice Location Address
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Address Line | 700 CHILDRENS DR
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City | COLUMBUS
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State | OH
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Zip | 43205-2664
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Country | US
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Telephone | 614-722-3100
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Fax | 614-722-2549
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Provider Business Mailing Address
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Address Line | 700 CHILDRENS DR
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City | COLUMBUS
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State | OH
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Zip | 43205-2664
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Country | US
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Telephone | 614-722-3100
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Fax | 614-722-2549
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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 | 208000000X
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Taxonomy Name | Pediatrics Physician
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License Number | 35058437
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License Number State | OH
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Taxonomy #2
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Taxonomy Code | 2080P0203X
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Taxonomy Name | Pediatric Critical Care Medicine Physician
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License Number | 35058437
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License Number State | OH
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Taxonomy #3
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Taxonomy Code | 2080P0202X
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Taxonomy Name | Pediatric Cardiology Physician
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License Number | 35058437
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License Number State | OH
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