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General NPI Number Information
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NPI Number | 1518182526
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Entity Type | Individual
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Provider Name | JONATHAN DANIEL CASCIANO MD
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Gender | Male
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Dates
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Enumeration Date | 04/16/2007
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Last Update Date | 02/07/2019
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Provider Practice Location Address
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Address Line | 5 SAINT VINCENT CIR STE 200
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City | LITTLE ROCK
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State | AR
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Zip | 72205-5416
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Country | US
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Telephone | 501-661-1123
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Fax | 501-661-0046
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Provider Business Mailing Address
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Address Line | 4300 W 7TH ST
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City | LITTLE ROCK
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State | AR
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Zip | 72205-5446
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Country | US
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Telephone | 501-257-1000
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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 | 207W00000X
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Taxonomy Name | Ophthalmology Physician
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License Number | 14833
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License Number State | NH
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Taxonomy #2
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Taxonomy Code | 207W00000X
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Taxonomy Name | Ophthalmology Physician
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License Number | 440096201
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License Number State | AR
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Taxonomy #3
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Taxonomy Code | 207W00000X
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Taxonomy Name | Ophthalmology Physician
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License Number | 4301093592
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License Number State | MI
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Taxonomy #4
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Taxonomy Code | 207W00000X
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Taxonomy Name | Ophthalmology Physician
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License Number | E7805
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License Number State | AR
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