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General NPI Number Information
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NPI Number | 1730230103
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Entity Type | Individual
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Provider Name | MAIREAD CASEY P.A
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Gender | Female
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Dates
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Enumeration Date | 01/14/2007
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Last Update Date | 07/08/2007
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Provider Practice Location Address
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Address Line | 1111 AMSTERDAM AVE CARDIAC SURGERY MUHLENBERG 2 SUITE A
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City | NEW YORK
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State | NY
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Zip | 10025-1716
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Country | US
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Telephone | 212-523-2798
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Fax | 212-523-5433
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Provider Business Mailing Address
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Address Line | 54 EDGECLIFF TER
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City | YONKERS
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State | NY
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Zip | 10705-1609
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Country | US
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Telephone | 914-457-9137
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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 | 009251
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License Number State | NY
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