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General NPI Number Information
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NPI Number | 1619958568
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Entity Type | Individual
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Provider Name | EDGAR CASADO M.D.
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Gender | Male
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Dates
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Enumeration Date | 11/08/2005
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Last Update Date | 08/04/2008
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Provider Practice Location Address
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Address Line | 2014 WASHINGTON STREET
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City | NEWTON
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State | MA
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Zip | 02462
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Country | US
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Telephone | 617-243-6162
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Fax | 207-347-7401
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Provider Business Mailing Address
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Address Line | PO BOX 66799
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City | FALMOUTH
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State | MA
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Zip | 04105-6799
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Country | US
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Telephone | 866-689-8860
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Fax | 207-347-7401
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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 | 2085R0204X
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Taxonomy Name | Vascular & Interventional Radiology Physician
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License Number | 209751
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License Number State | MA
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