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General NPI Number Information
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NPI Number | 1629059050
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Entity Type | Individual
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Provider Name | MONICA LADEAN CASMAER PHYSICIAN ASSISTANT
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Gender | Female
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Dates
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Enumeration Date | 11/11/2005
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Last Update Date | 01/31/2019
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Provider Practice Location Address
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Address Line | 3851 ROGER BROOKE DR BROOKE ARMY MEDICAL CENTER MCHE-QD/ CREDENTIALS
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City | FORT SAM HOUSTON
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State | TX
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Zip | 78234-6200
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Country | US
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Telephone | 210-221-7896
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Fax |
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Provider Business Mailing Address
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Address Line | 11212 STATE HIGHWAY 151
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City | SAN ANTONIO
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State | TX
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Zip | 78251-4498
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Country | US
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Telephone |
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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 | 363A00000X
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Taxonomy Name | Physician Assistant
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License Number |
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License Number State |
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