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General NPI Number Information
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NPI Number | 1902008196
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Entity Type | Individual
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Provider Name | JESUS CASAS M.D.
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Gender | Male
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Dates
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Enumeration Date | 06/01/2007
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Last Update Date | 06/24/2021
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Provider Practice Location Address
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Address Line | 4414 NORTH FWY STE 300
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City | HOUSTON
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State | TX
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Zip | 77022-3657
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Country | US
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Telephone | 713-589-8643
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Fax |
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Provider Business Mailing Address
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Address Line | 101 TREMONT ST FL 6
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City | BOSTON
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State | MA
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Zip | 02108-5004
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Country | US
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Telephone |
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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 | 207R00000X
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Taxonomy Name | Internal Medicine Physician
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License Number | 036.117795
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License Number State | IL
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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 | 70397
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License Number State | WI
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Taxonomy #3
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Taxonomy Code | 207R00000X
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Taxonomy Name | Internal Medicine Physician
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License Number | T1031
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License Number State | TX
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