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General NPI Number Information
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NPI Number | 1992752703
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Entity Type | Individual
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Provider Name | RICHARD P KASKIW MD
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Gender | Male
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Dates
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Enumeration Date | 05/27/2006
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Last Update Date | 03/07/2023
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Provider Practice Location Address
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Address Line | 122 W EMBARGO ST
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City | ROME
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State | NY
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Zip | 13440-5138
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Country | US
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Telephone | 315-337-3391
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Fax | 315-337-0515
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Provider Business Mailing Address
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Address Line | PO BOX 340
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City | NEW HARTFORD
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State | NY
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Zip | 13413-0340
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Country | US
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Telephone | 315-732-9368
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Fax | 315-732-9403
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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 | 207QA0401X
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Taxonomy Name | Addiction Medicine (Family Medicine) Physician
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License Number | 184549-1
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License Number State | NY
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