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Individual
DR. SHANE PAUL CASS
Active
Individual
DR. SHANE PAUL CASS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DO
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
45755
CO
207Q00000X
Family Medicine Physician
T2004016530
MO
207QS0010X
Sports Medicine (Family Medicine) Physician
000
NM
207QS0010X
Sports Medicine (Family Medicine) Physician
Primary
DR.0045755
CO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
18506
KAISER COMMERCIAL NUMBER
CO
05
—
25536338
—
CO
Enumeration date
09/06/2006
Last updated
07/21/2022
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