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General NPI Number Information
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NPI Number | 1174143713
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Entity Type | Individual
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Provider Name | CASEY LUNT RDMS, RVT
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Gender | Male
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Dates
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Enumeration Date | 04/23/2020
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Last Update Date | 04/23/2020
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Provider Practice Location Address
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Address Line | 4621 DUSK MEADOW DR
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City | CARROLLTON
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State | TX
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Zip | 75010-2069
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Country | US
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Telephone | 214-705-3654
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Fax | 469-521-1190
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Provider Business Mailing Address
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Address Line | 525 YOSEMITE PARK
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City | CELINA
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State | TX
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Zip | 75009-1590
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Country | US
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Telephone | 214-668-1443
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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 | 2471V0106X
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Taxonomy Name | Vascular-Interventional Technology Radiologic Technologist
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License Number |
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License Number State | TX
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Taxonomy #2
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Taxonomy Code | 2471S1302X
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Taxonomy Name | Sonography Radiologic Technologist
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License Number |
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License Number State | TX
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