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General NPI Number Information
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NPI Number | 1073068763
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Entity Type | Individual
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Provider Name | JOVANNA NICOLE CASAS PHARM.D.
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Gender | Female
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Dates
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Enumeration Date | 08/23/2016
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Last Update Date | 08/23/2016
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Provider Practice Location Address
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Address Line | 2965 NE CONNERS AVE
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City | BEND
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State | OR
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Zip | 97701-7753
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Country | US
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Telephone | 541-330-8896
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Fax |
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Provider Business Mailing Address
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Address Line | 20566 PROSPECTOR LOOP
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City | BEND
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State | OR
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Zip | 97702-2294
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Country | US
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Telephone |
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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 | 183500000X
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Taxonomy Name | Pharmacist
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License Number | 0015501
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License Number State | OR
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