>>>Jay - are you trying to do a select or create a table - I'm assuming you are creating a table..?
>>
>>Select.
>
>Is your SQL Server case-sensitive? Try with CAST in upper case then or show the whole select statement, it would be easier to see the error.

Error:

Msg 102, Level 15, State 1, Line 13
Incorrect syntax near '+'.

SQL (line 13 is the SSN):

USE IMPACTMD
GO

SELECT 
	'"' + LastName + '"' AS LastName,
	'"' + FirstName + '"' AS FirstName,
	'"' + MI + '"' AS MI,
	'"' + Address1 + '"' AS Address1,
	'"' + Address2 + '"' AS Address2,
	'"' + City + '"' AS City,
	'"' + State + '"' AS State,
	'"' + Zip + '"' AS Zip,
	'"' + SSN + '"' AS SSN,
	'"' + Phone + '"' AS Phone,
	'"' + cast('' as varchar(12)) WorkPhone + '"' AS WorkPhone,
	'"' + DOB + '"' AS DOB,
	'"' + Sex + '"' AS Sex,
	'"' + InsCompanyID + '"' AS InsCompanyID,
	'"' + InsCompanyID2 + '"' AS InsCompanyID2,
	'"' + cast('' as varchar(12)) Reserved01 + '"' AS Reserved01,
	'"' + cast('' as varchar(12)) Reserved02 + '"' AS Reserved02,
	'"' + cast('' as varchar(12)) Reserved03 + '"' AS Reserved03,
	'"' + cast('Family_Physician_Last_Name' as varchar(30)) Family_Physician_Last_Name + '"' AS Family_Physician_Last_Name,
	'"' + cast('Family_Physician_First_Name' as varchar(30)) Family_Physician_First_Name + '"' AS Family_Physician_First_Name,
	'"' + cast('' as varchar(12)) Reserved04 + '"' AS Reserved04,
	'"' + cast('Referring_Physician_Last_Name' as varchar(30)) Referring_Physician_Last_Name + '"' AS Referring_Physician_Last_Name,
	'"' + cast('Referring_Physician_First_Name' as varchar(30)) Referring_Physician_First_Name + '"' AS Referring_Physician_First_Name,
	'"' + cast('' as varchar(12)) Reserved05 + '"' AS Reserved05,
	'"' + Provider1 + '"' AS Provider1,
	'"' + Provider2  + '"' AS Provider2
	FROM Patients

GO

SET ANSI_PADDING OFF