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General NPI Number Information
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NPI Number | 1467793869
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Entity Type | Individual
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Provider Name | TIMOTHY L. KASNER
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Gender | Male
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Dates
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Enumeration Date | 03/09/2013
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Last Update Date | 03/09/2013
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Provider Practice Location Address
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Address Line | 6520 FRATT RD
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City | SAN ANTONIO
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State | TX
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Zip | 78218-4402
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Country | US
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Telephone | 210-938-9767
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Fax | 210-938-4571
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Provider Business Mailing Address
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Address Line | 21619 FOREST WATERS CIR
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City | GARDEN RIDGE
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State | TX
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Zip | 78266-2779
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Country | US
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Telephone | 210-651-6395
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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 | 183500000X
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Taxonomy Name | Pharmacist
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License Number | 23790
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License Number State | TX
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