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General NPI Number Information
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NPI Number | 1730236019
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Entity Type | Individual
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Provider Name | CINDY CASALE D.P.M., PA-C
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Gender | Female
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Dates
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Enumeration Date | 01/05/2007
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Last Update Date | 01/05/2016
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Provider Practice Location Address
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Address Line | 3312 CLEMWOOD DR
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City | ORLANDO
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State | FL
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Zip | 32803-6904
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Country | US
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Telephone | 443-528-3595
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Fax |
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Provider Business Mailing Address
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Address Line | 3312 CLEMWOOD DR
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City | ORLANDO
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State | FL
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Zip | 32803-6904
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Country | US
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Telephone | 443-528-3595
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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 | 363AM0700X
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Taxonomy Name | Medical Physician Assistant
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License Number | C0002656
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License Number State | MD
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Taxonomy #2
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Taxonomy Code | 213E00000X
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Taxonomy Name | Podiatrist
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License Number | PO2077
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License Number State | FL
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Taxonomy #3
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Taxonomy Code | 363A00000X
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Taxonomy Name | Physician Assistant
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License Number | PA9102814
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License Number State | FL
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