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General NPI Number Information
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NPI Number | 1871513770
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Entity Type | Organization
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Legal Business Name | ANDREW CASSIDY PA
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Dates
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Enumeration Date | 07/20/2006
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Last Update Date | 05/08/2018
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Provider Practice Location Address
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Address Line | 3944 S FM 620, BUILDING 6, STE 204
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City | BEE CAVE
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State | TX
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Zip | 78738
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Country | US
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Telephone | 512-263-5454
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Fax | 512-263-5454
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Provider Business Mailing Address
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Address Line | 3944 S FM 620 BUILDING 6, STE 204
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City | BEE CAVE
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State | TX
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Zip | 78738
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Country | US
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Telephone | 512-263-5454
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Fax | 512-263-5454
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Authorized Official
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Title or Position | PHYSICIAN/ OWNER
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Name | DR. ANDREW P. CASSIDY
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Credential | DPM
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Telephone | 512-263-5454
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 213ES0103X
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Taxonomy Name | Foot & Ankle Surgery Podiatrist
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License Number | 1671
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License Number State | TX
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