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General NPI Number Information
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NPI Number | 1124211446
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Entity Type | Individual
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Provider Name | CHRISTIANA SIPPER CASANOVA APRN
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Gender | Female
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Dates
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Enumeration Date | 08/20/2007
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Last Update Date | 03/25/2025
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Provider Practice Location Address
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Address Line | 601 MEDICAL DR
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City | ENGLEWOOD
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State | FL
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Zip | 34223-3976
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Country | US
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Telephone | 941-280-0499
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Fax | 941-340-0601
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Provider Business Mailing Address
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Address Line | 1773 GRANDE PARK DR
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City | ENGLEWOOD
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State | FL
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Zip | 34223-2301
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Country | US
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Telephone | 941-468-4924
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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 | 363LA2200X
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Taxonomy Name | Adult Health Nurse Practitioner
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License Number | ARNP2872212
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License Number State | FL
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