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General NPI Number Information
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NPI Number | 1003380650
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Entity Type | Individual
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Provider Name | KERIBETH R SEARCY PA-C
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Gender | Female
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Dates
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Enumeration Date | 01/17/2019
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Last Update Date | 03/12/2025
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Provider Practice Location Address
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Address Line | 31 OLD ROUTE 7
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City | BROOKFIELD
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State | CT
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Zip | 06804-1711
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Country | US
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Telephone | 475-253-2599
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Fax |
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Provider Business Mailing Address
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Address Line | 31 OLD ROUTE 7
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City | BROOKFIELD
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State | CT
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Zip | 06804-1711
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Country | US
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Telephone | 475-253-2599
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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 | 363AM0700X
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Taxonomy Name | Medical Physician Assistant
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License Number | 027442
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License Number State | NY
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Taxonomy #2
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Taxonomy Code | 363AM0700X
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Taxonomy Name | Medical Physician Assistant
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License Number | PA8285
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License Number State | MA
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Taxonomy #3
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Taxonomy Code | 363AM0700X
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Taxonomy Name | Medical Physician Assistant
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License Number | 3802
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License Number State | TN
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Taxonomy #4
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Taxonomy Code | 363AM0700X
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Taxonomy Name | Medical Physician Assistant
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License Number | 5033
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License Number State | CT
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