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General NPI Number Information
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NPI Number | 1194637694
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Entity Type | Individual
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Provider Name | CASEY CHRISTIANSON L.P.N.
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Gender | Female
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Dates
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Enumeration Date | 09/19/2026
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Last Update Date | 09/19/2026
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Provider Practice Location Address
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Address Line | 200 UNIVERSITY AVE E
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City | SAINT PAUL
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State | MN
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Zip | 55101-2507
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Country | US
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Telephone | 800-719-4040
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Fax |
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Provider Business Mailing Address
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Address Line | 22499 COYOUR RD
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City | FREDERIC
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State | WI
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Zip | 54837-9201
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Country | US
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Telephone | 715-690-4541
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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 | 164W00000X
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Taxonomy Name | Licensed Practical Nurse
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License Number | 827893
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License Number State | MN
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