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General NPI Number Information
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NPI Number | 1336403260
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Entity Type | Individual
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Provider Name | CASEY OWEN MCCRAW M.D.
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Gender | Male
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Dates
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Enumeration Date | 06/26/2012
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Last Update Date | 06/22/2018
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Provider Practice Location Address
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Address Line | 8915 S PECOS RD STE 19A
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City | HENDERSON
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State | NV
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Zip | 89074
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Country | US
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Telephone | 702-341-9000
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Fax |
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Provider Business Mailing Address
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Address Line | 7500 SMOKE RANCH RD STE 200
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City | LAS VEGAS
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State | NV
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Zip | 89128-0373
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Country | US
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Telephone | 702-233-0727
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Fax | 702-233-4799
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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 | 208800000X
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Taxonomy Name | Urology Physician
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License Number | 17981
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License Number State | NV
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Taxonomy #2
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Taxonomy Code | 208800000X
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Taxonomy Name | Urology Physician
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License Number | 005527
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License Number State | GA
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Taxonomy #3
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Taxonomy Code | 208800000X
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Taxonomy Name | Urology Physician
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License Number | 35901
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License Number State | AL
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