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General NPI Number Information
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NPI Number | 1598843997
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Entity Type | Individual
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Provider Name | DAVID BRUCE CASEY JR. MD
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Gender | Male
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Dates
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Enumeration Date | 11/02/2006
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Last Update Date | 04/13/2011
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Provider Practice Location Address
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Address Line | 3727 WILLOW SPRINGS DR
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City | MANVEL
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State | TX
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Zip | 77578-4787
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Country | US
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Telephone | 281-692-2288
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Fax |
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Provider Business Mailing Address
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Address Line | 3727 WILLOW SPRINGS DR
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City | MANVEL
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State | TX
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Zip | 77578-4787
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Country | US
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Telephone | 832-289-0214
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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 | 207P00000X
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Taxonomy Name | Emergency Medicine Physician
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License Number | AD9470826-508846
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License Number State | FL
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Taxonomy #2
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Taxonomy Code | 207P00000X
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Taxonomy Name | Emergency Medicine Physician
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License Number | 21443
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License Number State | MS
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Taxonomy #3
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Taxonomy Code | 207P00000X
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Taxonomy Name | Emergency Medicine Physician
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License Number | MD60197282
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License Number State | WA
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