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General NPI Number Information
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NPI Number | 1730207317
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Entity Type | Individual
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Provider Name | KATHY N. NGUYEN CASADO M.D.
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Gender | Female
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Dates
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Enumeration Date | 03/26/2007
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Last Update Date | 08/31/2021
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Provider Practice Location Address
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Address Line | 3175 CITRUS TOWER BLVD STE B
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City | CLERMONT
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State | FL
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Zip | 34711-6885
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Country | US
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Telephone | 352-243-0206
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Fax | 352-243-1822
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Provider Business Mailing Address
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Address Line | 3175 CITRUS TOWER BLVD
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City | CLERMONT
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State | FL
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Zip | 34711-6885
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Country | US
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Telephone | 352-243-0206
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Fax | 352-243-1822
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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 | 207Q00000X
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Taxonomy Name | Family Medicine Physician
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License Number | ME108362
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License Number State | FL
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Taxonomy #2
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Taxonomy Code | 207R00000X
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Taxonomy Name | Internal Medicine Physician
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License Number | ME108362
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License Number State | FL
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