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General NPI Number Information
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NPI Number | 1457553943
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Entity Type | Organization
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Legal Business Name | DAVID L CASE MD LLC
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Dates
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Enumeration Date | 06/05/2007
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Last Update Date | 12/05/2007
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Provider Practice Location Address
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Address Line | 300 S 8TH ST SUITE 376 W
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City | MURRAY
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State | KY
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Zip | 42071-2400
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Country | US
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Telephone | 270-753-2050
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Fax | 270-767-3635
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Provider Business Mailing Address
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Address Line | PO BOX 3565
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City | CROSSVILLE
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State | TN
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Zip | 38557-3565
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Country | US
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Telephone | 931-787-1500
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Fax | 931-787-1503
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Authorized Official
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Title or Position | PRESIDENT
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Name | DR. DAVID LAWRENCE CASE
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Credential | M.D
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Telephone | 270-753-2050
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261QX0200X
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Taxonomy Name | Oncology Clinic/Center
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License Number | 27433
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License Number State | KY
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