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General NPI Number Information
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NPI Number | 1194105049
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Entity Type | Individual
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Provider Name | CASEY CRAIG COUNTS CNP
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Gender | Male
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Dates
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Enumeration Date | 06/05/2015
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Last Update Date | 11/18/2025
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Provider Practice Location Address
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Address Line | 1100 DEFIANCE ST
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City | WAPAKONETA
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State | OH
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Zip | 45895-1022
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Country | US
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Telephone | 419-996-5122
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Fax | 419-996-5123
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Provider Business Mailing Address
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Address Line | 1100 DEFIANCE ST
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City | WAPAKONETA
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State | OH
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Zip | 45895-1022
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Country | US
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Telephone | 419-996-5122
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Fax | 419-996-5123
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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 | 363LF0000X
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Taxonomy Name | Family Nurse Practitioner
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License Number | APRN.CNP.17408
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License Number State | OH
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