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General NPI Number Information
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NPI Number | 1184420937
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Entity Type | Individual
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Provider Name | CASEY EDMONSON DC
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Gender | Male
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Dates
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Enumeration Date | 02/21/2025
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Last Update Date | 02/21/2025
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Provider Practice Location Address
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Address Line | 1 MARKS RD
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City | OCEAN SPRINGS
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State | MS
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Zip | 39564-4351
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Country | US
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Telephone | 228-337-1682
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Fax |
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Provider Business Mailing Address
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Address Line | 8821 MARGURITE DR
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City | OCEAN SPRINGS
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State | MS
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Zip | 39564-7672
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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 | 111N00000X
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Taxonomy Name | Chiropractor
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License Number | 15428
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License Number State | TX
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Taxonomy #2
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Taxonomy Code | 111N00000X
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Taxonomy Name | Chiropractor
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License Number | 1402
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License Number State | MS
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