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General NPI Number Information
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NPI Number | 1174288294
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Entity Type | Individual
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Provider Name | ANNETTE CASPE RN
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Gender | Female
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Dates
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Enumeration Date | 11/03/2021
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Last Update Date | 11/03/2021
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Provider Practice Location Address
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Address Line | 1386 E BUFFALO ST
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City | GILBERT
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State | AZ
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Zip | 85295-8405
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Country | US
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Telephone | 480-625-3491
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Fax | 480-696-4038
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Provider Business Mailing Address
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Address Line | 3760 E SPRING WHEAT LN
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City | GILBERT
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State | AZ
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Zip | 85296-0656
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Country | US
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Telephone | 602-619-1465
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Fax | 480-626-9563
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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 | 310400000X
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Taxonomy Name | Assisted Living Facility
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License Number | AL9824H
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License Number State | AZ
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