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General NPI Number Information
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NPI Number | 1902092018
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Entity Type | Individual
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Provider Name | JOHN MICHAEL CASCI D.C.
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Gender | Male
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Dates
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Enumeration Date | 09/21/2007
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Last Update Date | 03/31/2020
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Provider Practice Location Address
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Address Line | 48 N EL MOLINO AVE SUITE 102
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City | PASADENA
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State | CA
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Zip | 91101-1861
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Country | US
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Telephone | 626-585-1616
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Fax |
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Provider Business Mailing Address
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Address Line | 630 MISSION ST STE C
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City | SOUTH PASADENA
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State | CA
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Zip | 91030-6500
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Country | US
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Telephone | 626-585-1616
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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 | 111N00000X
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Taxonomy Name | Chiropractor
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License Number | 30704
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License Number State | CA
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