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General NPI Number Information
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NPI Number | 1932224284
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Entity Type | Individual
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Provider Name | CASEY M DENNIS RPH
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Gender | Male
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Dates
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Enumeration Date | 03/19/2007
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Last Update Date | 07/08/2007
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Provider Practice Location Address
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Address Line | 5151 BLAZER PKWY
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City | DUBLIN
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State | OH
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Zip | 43017-3327
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Country | US
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Telephone | 800-346-1323
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Fax |
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Provider Business Mailing Address
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Address Line | 1137 NORTHWOOD CIR
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City | NEW ALBANY
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State | OH
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Zip | 43054-9057
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Country | US
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Telephone | 614-245-8078
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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 | 183500000X
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Taxonomy Name | Pharmacist
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License Number | 03-1-24465
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License Number State | OH
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