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NPI 1831108216

NPI 1831108216 : RONALD J CASALINO DC : ALBANY, GA

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General NPI Number Information
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    NPI Number           |    1831108216
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    Entity Type          |    Individual 
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    Provider Name        |    RONALD J CASALINO DC
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    Gender               |    Male 
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Dates
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    Enumeration Date     |    08/05/2006
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    Last Update Date     |    12/03/2008
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Provider Practice Location Address
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    Address Line         |    702B BALDWIN DR 
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    City                 |    ALBANY
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    State                |    GA
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    Zip                  |    31707-3848
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    Country              |    US
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    Telephone            |    229-630-0474
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    Fax                  |    847-854-8652
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Provider Business Mailing Address
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    Address Line         |    702B BALDWIN DR 
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    City                 |    ALBANY
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    State                |    GA
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    Zip                  |    31707-3848
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    Country              |    US
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    Telephone            |    229-630-0474
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    Fax                  |    847-854-8652
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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        |    111N00000X
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    Taxonomy Name        |    Chiropractor
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    License Number       |    038010618
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    License Number State |    IL
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Taxonomy #2
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    Taxonomy Code        |    111N00000X
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    Taxonomy Name        |    Chiropractor
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    License Number       |    4679
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    License Number State |    GA
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Taxonomy #3
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    Taxonomy Code        |    111N00000X
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    Taxonomy Name        |    Chiropractor
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    License Number       |    1374
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    License Number State |    SC
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