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General NPI Number Information
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NPI Number | 1134572324
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Entity Type | Organization
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Legal Business Name | JENNIFER M CASEY MD PLLC
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Dates
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Enumeration Date | 07/22/2016
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Last Update Date | 08/01/2016
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Provider Practice Location Address
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Address Line | 2 WASHINGTON ST STE 321
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City | DOVER
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State | NH
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Zip | 03820-3889
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Country | US
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Telephone | 603-749-9900
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Fax |
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Provider Business Mailing Address
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Address Line | 2 WASHINGTON ST STE 321
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City | DOVER
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State | NH
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Zip | 03820-3889
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Country | US
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Telephone | 603-749-9900
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Fax |
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Authorized Official
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Title or Position | OWNER
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Name | MS. JENNIFER MARTHA CASEY
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Credential | MD
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Telephone | 603-749-9900
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 2084P0800X
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Taxonomy Name | Psychiatry Physician
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License Number | 11898
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License Number State | NH
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