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General NPI Number Information
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NPI Number | 1154000354
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Entity Type | Individual
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Provider Name | CASEY COPP CPNP
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Gender | Female
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Dates
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Enumeration Date | 07/14/2023
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Last Update Date | 07/11/2025
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Provider Practice Location Address
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Address Line | 342 OAKHAVEN DR
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City | HOLLY SPRINGS
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State | NC
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Zip | 27540-4529
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Country | US
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Telephone | 210-788-1185
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Fax |
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Provider Business Mailing Address
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Address Line | 801 PENCIL BOX WAY
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City | VIRGINIA BEACH
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State | VA
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Zip | 23462-1070
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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 | 363LP0200X
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Taxonomy Name | Pediatric Nurse Practitioner
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License Number | 5021235
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License Number State | NC
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Taxonomy #2
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Taxonomy Code | 363LP0200X
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Taxonomy Name | Pediatric Nurse Practitioner
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License Number | 0024187557
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License Number State | VA
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