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General NPI Number Information
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NPI Number | 1194256677
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Entity Type | Individual
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Provider Name | HEATHER CASEY NP-C
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Gender | Female
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Dates
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Enumeration Date | 03/25/2017
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Last Update Date | 06/23/2023
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Provider Practice Location Address
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Address Line | 4716 E THUNDERBIRD RD STE 147
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City | PHOENIX
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State | AZ
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Zip | 85032-5541
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Country | US
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Telephone | 480-999-1552
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Fax | 330-625-5094
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Provider Business Mailing Address
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Address Line | 5217 E DIXILETA DR
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City | CAVE CREEK
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State | AZ
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Zip | 85331-3354
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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 | 363LF0000X
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Taxonomy Name | Family Nurse Practitioner
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License Number | AP9994
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License Number State | AZ
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