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General NPI Number Information
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NPI Number | 1366407025
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Entity Type | Individual
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Provider Name | BARBARA LAUREL CASEY D.D.S.
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Gender | Female
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Dates
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Enumeration Date | 04/18/2006
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Last Update Date | 08/24/2014
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Provider Practice Location Address
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Address Line | 4800 LAKEWOOD RANCH BLVD
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City | BRADENTON
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State | FL
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Zip | 34211-4953
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Country | US
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Telephone | 941-405-1500
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Fax |
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Provider Business Mailing Address
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Address Line | 399 150TH AVE
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City | MADEIRA BEACH
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State | FL
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Zip | 33708-2070
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Country | US
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Telephone |
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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 | 122300000X
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Taxonomy Name | Dentist
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License Number | DN15382
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License Number State | FL
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Taxonomy #2
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Taxonomy Code | 122300000X
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Taxonomy Name | Dentist
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License Number | 14805
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License Number State | MD
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