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General NPI Number Information
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NPI Number | 1619024460
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Entity Type | Individual
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Provider Name | JOSEPH WILLIAM CASEY D.D.S.
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Gender | Male
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Dates
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Enumeration Date | 01/04/2007
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Last Update Date | 02/15/2013
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Provider Practice Location Address
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Address Line | 1100 TOWN SQUARE RD
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City | POTTSTOWN
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State | PA
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Zip | 19465-1017
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Country | US
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Telephone | 610-323-6350
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Fax |
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Provider Business Mailing Address
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Address Line | 4414 MARVINE AVE
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City | DREXEL HILL
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State | PA
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Zip | 19026-4041
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Country | US
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Telephone | 610-446-9165
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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 | 122300000X
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Taxonomy Name | Dentist
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License Number | DI0238000
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License Number State | NJ
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Taxonomy #2
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Taxonomy Code | 1223G0001X
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Taxonomy Name | General Practice Dentistry
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License Number | DS021966L
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License Number State | PA
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