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General NPI Number Information
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NPI Number | 1568790517
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Entity Type | Organization
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Legal Business Name | JAMES M CASKEY MD PA
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Dates
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Enumeration Date | 12/03/2009
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Last Update Date | 12/03/2009
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Provider Practice Location Address
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Address Line | 206 GENE SAMFORD DR SUITE B
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City | LUFKIN
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State | TX
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Zip | 75904-3358
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Country | US
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Telephone | 936-634-3396
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Fax | 936-632-7933
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Provider Business Mailing Address
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Address Line | 206 GENE SAMFORD DR SUITE B
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City | LUFKIN
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State | TX
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Zip | 75904-3358
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Country | US
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Telephone | 936-634-3396
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Fax | 936-632-7933
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Authorized Official
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Title or Position | PHYSICIAN/ OWNER
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Name | DR. JAMES M CASKEY
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Credential | MD
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Telephone | 936-634-3396
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261QP2300X
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Taxonomy Name | Primary Care Clinic/Center
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License Number | E9049
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License Number State | TX
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