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General NPI Number Information
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NPI Number | 1710965017
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Entity Type | Individual
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Provider Name | CHARLES T CASSEL MD
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Gender | Male
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Dates
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Enumeration Date | 01/06/2006
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Last Update Date | 03/18/2011
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Provider Practice Location Address
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Address Line | 2300 53RD AVE SUITE 100
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City | BETTENDORF
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State | IA
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Zip | 52722-7564
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Country | US
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Telephone | 563-322-0971
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Fax | 563-324-0615
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Provider Business Mailing Address
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Address Line | 2300 53RD AVE SUITE 100
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City | BETTENDORF
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State | IA
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Zip | 52722-7564
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Country | US
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Telephone | 563-322-0971
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Fax | 563-324-0615
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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 | 207X00000X
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Taxonomy Name | Orthopaedic Surgery Physician
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License Number | 22728
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License Number State | IA
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