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General NPI Number Information
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NPI Number | 1942373246
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Entity Type | Organization
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Legal Business Name | ROBERT J CASANAS MD LLC
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Dates
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Enumeration Date | 11/16/2006
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Last Update Date | 02/20/2013
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Provider Practice Location Address
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Address Line | 9825 BAY ISLAND DR
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City | TAMPA
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State | FL
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Zip | 33615-4217
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Country | US
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Telephone | 813-792-5730
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Fax | 813-792-5704
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Provider Business Mailing Address
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Address Line | 9825 BAY ISLAND DR
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City | TAMPA
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State | FL
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Zip | 33615-4217
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Country | US
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Telephone | 813-792-5730
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Fax | 813-792-5704
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Authorized Official
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Title or Position | INTERNAL MEDICINE PHYSICIAN
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Name | ROBERT J CASANAS
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Credential | MD
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Telephone | 813-792-5730
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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 | ME65487
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License Number State | FL
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