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General NPI Number Information
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NPI Number | 1528457264
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Entity Type | Organization
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Legal Business Name | MCCASKEY ORTHODONTICS
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Dates
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Enumeration Date | 01/19/2015
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Last Update Date | 01/19/2015
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Provider Practice Location Address
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Address Line | 218 W NORTH ST
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City | BUTLER
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State | PA
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Zip | 16001-5227
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Country | US
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Telephone | 724-283-8900
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Fax |
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Provider Business Mailing Address
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Address Line | 218 W NORTH ST
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City | BUTLER
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State | PA
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Zip | 16001-5227
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Country | US
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Telephone | 724-283-8900
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Fax |
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Authorized Official
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Title or Position | OFFICE MANAGER
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Name | NANCY MCCASKEY
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Credential |
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Telephone | 724-283-8900
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 1223X0400X
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Taxonomy Name | Orthodontics and Dentofacial Orthopedics Dentistry
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License Number | DS030547L
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License Number State | PA
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