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General NPI Number Information
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NPI Number | 1386645000
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Entity Type | Individual
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Provider Name | THOMAS E. KASPER M.D.
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Gender | Male
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Dates
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Enumeration Date | 08/03/2005
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Last Update Date | 09/21/2016
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Provider Practice Location Address
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Address Line | 220 E BEAVER AVE
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City | FORT MORGAN
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State | CO
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Zip | 80701-3103
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Country | US
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Telephone | 970-867-1829
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Fax | 970-867-1064
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Provider Business Mailing Address
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Address Line | 220 E BEAVER AVE
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City | FORT MORGAN
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State | CO
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Zip | 80701-3103
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Country | US
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Telephone | 970-867-1829
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Fax | 970-867-1064
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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 | 174400000X
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Taxonomy Name | Specialist
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License Number | D0008738
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License Number State | MD
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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 | D0008738
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License Number State | MD
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