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General NPI Number Information
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NPI Number | 1467645903
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Entity Type | Individual
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Provider Name | EHAB S KASASBEH M.D.
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Gender | Male
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Dates
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Enumeration Date | 08/18/2007
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Last Update Date | 12/10/2025
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Provider Practice Location Address
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Address Line | 113 HIGHWAY 70 EAST
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City | DICKSON
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State | TN
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Zip | 37055-2075
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Country | US
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Telephone | 615-441-4435
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Fax | 615-441-4457
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Provider Business Mailing Address
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Address Line | 127 CRESTVIEW PARK DRIVE
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City | DICKSON
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State | TN
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Zip | 37055-2855
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Country | US
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Telephone | 615-446-5121
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Fax | 615-446-1359
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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 | 207RC0000X
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Taxonomy Name | Cardiovascular Disease Physician
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License Number | MD45040
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License Number State | TN
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Taxonomy #2
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Taxonomy Code | 207RI0011X
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Taxonomy Name | Interventional Cardiology Physician
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License Number | MD45040
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License Number State | TN
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