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General NPI Number Information
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NPI Number | 1447569082
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Entity Type | Individual
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Provider Name | A ANDREW CASANO M. D.
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Gender | Male
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Dates
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Enumeration Date | 09/30/2010
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Last Update Date | 09/30/2010
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Provider Practice Location Address
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Address Line | 16 CHESTNUT HILL RD S
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City | LOUDONVILLE
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State | NY
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Zip | 12211-1666
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Country | US
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Telephone | 518-462-2406
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Fax |
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Provider Business Mailing Address
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Address Line | 16 CHESTNUT HILL RD S
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City | LOUDONVILLE
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State | NY
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Zip | 12211-1666
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Country | US
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Telephone | 518-462-2406
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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 | 207RN0300X
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Taxonomy Name | Nephrology Physician
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License Number | 104013-1
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License Number State | NY
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